Healthcare Provider Details
I. General information
NPI: 1154100485
Provider Name (Legal Business Name): SAFEPOINT OCCUPATIONAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9857 OLD SAINT AUGUSTINE RD STE 2
JACKSONVILLE FL
32257-8821
US
IV. Provider business mailing address
9857 OLD SAINT AUGUSTINE RD STE 2
JACKSONVILLE FL
32257-8821
US
V. Phone/Fax
- Phone: 904-861-1919
- Fax:
- Phone: 904-861-1919
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SEAN
HASSAN
Title or Position: PRESIDENT
Credential:
Phone: 904-861-1919