Healthcare Provider Details

I. General information

NPI: 1992618409
Provider Name (Legal Business Name): EASIEDOESIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2191 W 2ND ST
JACKSONVILLE FL
32209-6941
US

IV. Provider business mailing address

2191 W 2ND ST
JACKSONVILLE FL
32209-6941
US

V. Phone/Fax

Practice location:
  • Phone: 904-465-3272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: ERIKA POLITE
Title or Position: DOULA
Credential:
Phone: 904-465-3272