Healthcare Provider Details

I. General information

NPI: 1073816021
Provider Name (Legal Business Name): WE R PEOPLE 2, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2010
Last Update Date: 12/10/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3107 SPRING GLEN RD SUITE 212
JACKSONVILLE FL
32207-5916
US

IV. Provider business mailing address

3107 SPRING GLEN RD STE 210
JACKSONVILLE FL
32207-5922
US

V. Phone/Fax

Practice location:
  • Phone: 904-294-3567
  • Fax: 904-396-0739
Mailing address:
  • Phone: 904-294-3567
  • Fax: 904-396-0739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number691635096
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number2319997
License Number StateFL

VIII. Authorized Official

Name: FALANA NICOLE DIXON
Title or Position: OWNER
Credential:
Phone: 904-294-3567