| Jk Health Systems, Llc | |
|
2140 Kingsley Ave Ste 2 Orange Park FL 32073-5129 | |
| (999) 999-9999 | |
| Not Available |
| Full Name | Jk Health Systems, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2140 Kingsley Ave Ste 2, Orange Park, Florida |
| Authorized Official Name and Position | John Distefano (BUSINESS MANAGER) |
| Authorized Official Contact | 3523173214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jk Health Systems, Llc 1548 Maple Leaf Ln Fleming Island FL 32003-8225 Ph: (904) 752-0215 | Jk Health Systems, Llc 2140 Kingsley Ave Ste 2 Orange Park FL 32073-5129 Ph: (999) 999-9999 |
| NPI Number | 1851146500 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 02/07/2025 |
| Medicare PECOS PAC ID | 0143763854 |
|---|---|
| Medicare Enrollment ID | O20240624000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851146500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jessica Lynn Kalarovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225526239 PECOS PAC ID: 2860742269 Enrollment ID: I20180905003872 |
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