Healthcare Provider Details

I. General information

NPI: 1801642277
Provider Name (Legal Business Name): DIGNITAS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6817 SOUTHPOINT PKWY STE 802
JACKSONVILLE FL
32216-6292
US

IV. Provider business mailing address

12860 DAYBREAK CT E
JACKSONVILLE FL
32246-7095
US

V. Phone/Fax

Practice location:
  • Phone: 904-422-8038
  • Fax:
Mailing address:
  • Phone: 904-422-8038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE ALVES SILVA
Title or Position: OWNER
Credential: MD
Phone: 904-422-8038