MEDICARE: MS. LISA S. BLIZZARD SUPPORT COORDINATOR

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1447258066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA S. BLIZZARD SUPPORT COORDINATOR

Provider Business Mailing Address
First Line	:	9526 ARGYLE FOREST BLVD
Second Line	:	SUITE B2 PMB #309
City	:	JACKSONVILLE
State	:	FL
Zip	:	32222-2825
Country	:	US
Telephone Number	:	904-772-6442
Fax Number	:	904-772-6443

Provider Business Practice Location Address
First Line	:	9447 BRUNTSFIELD DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-7176
Country	:	US
Telephone Number	:	904-772-6442
Fax Number	:	904-772-6443

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	07/09/2007

Similar Medicare Providers

1184631814 — YOUR JOURNEY INC.
Practice Location Address:

9447 BRUNTSFIELD DR
JACKSONVILLE, FL
32244-7176

Practice Phone: 904-772-6442
Practice Fax: 904-772-6443

1699770990 — DR. JOHN EZRA TRAINER III M.D.
Practice Location Address:

6841 BLANDING BLVD
JACKSONVILLE, FL
32244-4418

Practice Phone: 904-862-2175
Practice Fax: 904-862-2175

1194722512 — DR. CRAIG ALLEN KORNICK MD
Practice Location Address:

7207 GOLDEN WINGS ROAD
JACKSONVILLE, FL
32244

Practice Phone: 904-389-1010
Practice Fax: 904-389-1082

1457345142 — JOHN J GOETZE MSPT
Practice Location Address:

7855 ARGYLE FOREST BLVD , SUITE 504
JACKSONVILLE, FL
32244-5596

Practice Phone: 904-421-2119
Practice Fax:

1942294640 — JOHN GOETZE PHYSICAL THERAPY, INC
Practice Location Address:

7855 ARGYLE FOREST BLVD , SUITE 504
JACKSONVILLE, FL
32244-5596

Practice Phone: 904-573-2100
Practice Fax:

1942298849 — ALL SAINTS NURSING HOME & REHAB. CENTER, INC.
Practice Location Address:

5888 BLANDING BLVD
JACKSONVILLE, FL
32244-1927

Practice Phone: 904-772-1220
Practice Fax: 904-772-6334

Directions to “ MS. LISA S. BLIZZARD SUPPORT COORDINATOR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.