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NPI Code Detail

MEDICARE: FIRST STOP HEALTHCARE PLLC

MEDICARE: FIRST STOP HEALTHCARE PLLC
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
1261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942806690
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST STOP HEALTHCARE PLLC
Provider Business Mailing Address
First Line : 4085 TYNDEL CREEK CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32223-7474
Country : US
Telephone Number : 904-483-1763
Fax Number :
Provider Business Practice Location Address
First Line : 1912 HAMILTON ST STE 205
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-2078
Country : US
Telephone Number : 904-717-0031
Fax Number : 904-717-0037
Authorized Official
Title or Position : OWNER, PROVIDER
Name : LASHANDIA K MAY
Credential : APRN
Telephone Number : 904-717-0031
Provider Enumeration Date : 12/08/2020
Last Update Date : 12/09/2023

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Directions to “FIRST STOP HEALTHCARE PLLC ” Practice Location

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