Healthcare Provider Details

I. General information

NPI: 1215853205
Provider Name (Legal Business Name): VILORA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 COURT ST
JACKSONVILLE FL
32208-3412
US

IV. Provider business mailing address

1943 BLUEBONNET WAY
FLEMING ISLAND FL
32003-7462
US

V. Phone/Fax

Practice location:
  • Phone: 904-343-2021
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: LEANA PRATTIS
Title or Position: OWNER
Credential:
Phone: 904-343-2021