MEDICARE: BIANCA J CROYLE

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	101YS0200X	School Counselor
2	1041C0700X	Clinical Social Worker	SW24603	FL

General Provider Information

NPI Number	:	1881309375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA J CROYLE

Provider Business Mailing Address
First Line	:	8015 PARKER SCHOOL RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-5172
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2717 DALMATION LN E
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-1868
Country	:	US
Telephone Number	:	949-648-3514
Fax Number	:

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

Provider Enumeration Date	:	01/18/2023
Last Update Date	:	05/28/2025

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Directions to “ BIANCA J CROYLE ” Practice Location

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