MEDICARE: FOLLOW YOUR DREAM FARM 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1447991765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOLLOW YOUR DREAM FARM INC

Provider Business Mailing Address
First Line	:	10007 TIMBER FALLS LN
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32219-4359
Country	:	US
Telephone Number	:	904-418-0787
Fax Number	:

Provider Business Practice Location Address
First Line	:	7570 SYCAMORE ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32219-2349
Country	:	US
Telephone Number	:	904-418-0787
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ADRIANA EUGENIA BASKINS
Credential	:
Telephone Number	:	904-418-0787

Provider Enumeration Date	:	04/02/2022
Last Update Date	:	04/02/2022

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Directions to “FOLLOW YOUR DREAM FARM INC ” Practice Location

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