Healthcare Provider Details

I. General information

NPI: 1023938164
Provider Name (Legal Business Name): LOCAL AREA NETWORK CONNECTION INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 E 8TH ST STE 12
JACKSONVILLE FL
32206-3773
US

IV. Provider business mailing address

10700 BEACH BLVD # 19883
JACKSONVILLE FL
32246-3657
US

V. Phone/Fax

Practice location:
  • Phone: 860-578-4469
  • Fax:
Mailing address:
  • Phone: 860-578-4469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: JUNE WARE
Title or Position: PRESIDENT
Credential: WARE
Phone: 860-578-4469