| Oak Hill Family Care Center Inc. | |
|
4760 Blanding Blvd Jacksonville FL 32210-7327 | |
| (904) 778-4448 | |
| (904) 778-3634 |
| Full Name | Oak Hill Family Care Center Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4760 Blanding Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Amanda Climacosa Zaide (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 9047784448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Hill Family Care Center Inc. 4760 Blanding Blvd Jacksonville FL 32210-7327 Ph: (904) 778-4448 | Oak Hill Family Care Center Inc. 4760 Blanding Blvd Jacksonville FL 32210-7327 Ph: (904) 778-4448 |
| NPI Number | 1235475575 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 12/13/2012 |
| Medicare PECOS PAC ID | 3678725603 |
|---|---|
| Medicare Enrollment ID | O20121220000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235475575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME33447 (Florida) | Primary |
| Provider Name | Liza R Byatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881239721 PECOS PAC ID: 6002243680 Enrollment ID: I20200220000359 |
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