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General NPI Number Information
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NPI Number | 1215345160
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Entity Type | Organization
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Legal Business Name | DESIRE HEALTH CARE CORP.
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 3636 UNIVERSITY BLVD S STE A8
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4210
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Country | US
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Telephone | 904-553-4900
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Fax | 866-266-8160
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Provider Business Mailing Address
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Address Line | 3636 UNIVERSITY BLVD S STE A8
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4210
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Country | US
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Telephone | 904-553-4900
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Fax | 866-266-8160
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Authorized Official
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Title or Position | ADMINISTRATOR, CEO
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Name | GEYSEL ACOSTA
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Credential |
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Telephone | 904-504-0504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299994677
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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