Healthcare Provider Details

I. General information

NPI: 1801256771
Provider Name (Legal Business Name): FRAN CUCHIARA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2016
Last Update Date: 03/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715-1 SAN JOSE PLACE SUITE 1
JACKSONVILLE FL
32257
US

IV. Provider business mailing address

3715-1 SAN JOSE PLACE
JACKSONVILLE FL
32257
US

V. Phone/Fax

Practice location:
  • Phone: 904-880-0603
  • Fax: 904-880-0802
Mailing address:
  • Phone: 904-880-0603
  • Fax: 904-880-0802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. FRAN J CUCHIARA
Title or Position: PRIVATE PRACTITIONER
Credential: MA
Phone: 904-880-0603