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NPI Code Detail

MEDICARE: MULTIPAYL, INC.

MEDICARE: MULTIPAYL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency299991582FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1696927698OTHERFLFSL WAIVER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306893060
Entity Type Code : Organization
Provider Name (Legal Business Name) : MULTIPAYL, INC.
Provider Business Mailing Address
First Line : PO BOX 77425
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32226-7425
Country : US
Telephone Number : 904-744-6320
Fax Number : 904-744-6354
Provider Business Practice Location Address
First Line : 1616 JORK RD
Second Line : SUITE 302
City : JACKSONVILLE
State : FL
Zip : 32207-2491
Country : US
Telephone Number : 904-744-6320
Fax Number : 904-744-6354
Authorized Official
Title or Position : OWNER
Name : KATHRYN M. PORTER
Credential : REGISTERED NURSE
Telephone Number : 904-744-6320
Provider Enumeration Date : 05/28/2006
Last Update Date : 07/10/2007

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