| Primary Care Choices | |
|
11681 Lois Jerry Rd Jacksonville FL 32258-2503 | |
| (904) 254-5603 | |
| (904) 643-4724 |
| Full Name | Primary Care Choices |
|---|---|
| Speciality | Clinic/Center |
| Location | 11681 Lois Jerry Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Margaret Mosher (OWNER) |
| Authorized Official Contact | 9042545603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Choices 11681 Lois Jerry Rd Jacksonville FL 32258-2503 Ph: (904) 254-5603 | Primary Care Choices 11681 Lois Jerry Rd Jacksonville FL 32258-2503 Ph: (904) 254-5603 |
| NPI Number | 1891560744 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 7012367881 |
|---|---|
| Medicare Enrollment ID | O20231220002811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891560744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Margaret Helen Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184050577 PECOS PAC ID: 7113151754 Enrollment ID: I20131014001517 |
| Provider Name | Stella M Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871561373 PECOS PAC ID: 6103065453 Enrollment ID: I20180126001724 |
| Provider Name | Delilah E Harrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417650151 PECOS PAC ID: 1759732944 Enrollment ID: I20240112000193 |
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