Healthcare Provider Details
I. General information
NPI: 1063752491
Provider Name (Legal Business Name): SSS HEALTHCARE SERVICES, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2013
Last Update Date: 02/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4217 BAYMEADOWS RD SUITE 3
JACKSONVILLE FL
32217-4676
US
IV. Provider business mailing address
4217 BAYMEADOWS RD SUITE 3
JACKSONVILLE FL
32217-4676
US
V. Phone/Fax
- Phone: 904-332-7431
- Fax: 904-332-7408
- Phone: 904-332-7431
- Fax: 904-332-7408
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHARON
LYNN
STEINMETZ
Title or Position: PRESIDENT
Credential:
Phone: 904-612-1863