Healthcare Provider Details

I. General information

NPI: 1275269573
Provider Name (Legal Business Name): HEALING ADVANCED SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2022
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11555 CENTRAL PKWY STE 804
JACKSONVILLE FL
32224-2700
US

IV. Provider business mailing address

11555 CENTRAL PKWY STE 804
JACKSONVILLE FL
32224-2700
US

V. Phone/Fax

Practice location:
  • Phone: 904-373-1661
  • Fax: 904-619-6227
Mailing address:
  • Phone: 904-373-1661
  • Fax: 904-619-6227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE JULIA SEIDLE
Title or Position: SOLE OWNER
Credential: APRN
Phone: 828-290-4999