Healthcare Provider Details

I. General information

NPI: 1982956207
Provider Name (Legal Business Name): WATCH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2012
Last Update Date: 10/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W 1ST ST
ATLANTIC BEACH FL
32233-2502
US

IV. Provider business mailing address

3604 CARDINAL POINT DR
JACKSONVILLE FL
32257-5581
US

V. Phone/Fax

Practice location:
  • Phone: 904-249-1984
  • Fax: 904-731-0002
Mailing address:
  • Phone: 904-731-4002
  • Fax: 904-731-0002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number7254
License Number StateFL

VIII. Authorized Official

Name: JAMIE LOUISE GLAVICH
Title or Position: CEO
Credential:
Phone: 904-610-6602