NPI Code Detail JSON Logo

1821244104 NPI number — WOMEN'S CENTER OF JACKSONVILLE

NPI Number: 1821244104
Health Care Provider/Practitioner: WOMEN'S CENTER OF JACKSONVILLE

Information about “1821244104” NPI (WOMEN'S CENTER OF JACKSONVILLE) exists in 1821244104 in HTML format HTML  |  1821244104 in plain Text format TXT  |  1821244104 in PDF (Portable Document Format) PDF  |  1821244104 in an XML format XML  formats.

NPI Number : 1821244104 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821244104",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WOMEN'S CENTER OF JACKSONVILLE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5644 COLCORD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32211-7017",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-722-3000",
    "MailingAddressFaxNumber": "904-722-3100",
    "FirstLinePracticeLocationAddress": "5644 COLCORD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32211-7017",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-722-3000",
    "PracticeLocationAddressFaxNumber": "904-722-3100",
    "EnumerationDate": "08/18/2008",
    "LastUpdateDate": "08/18/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GALLAGHER",
    "AuthorizedOfficialFirstName": "JAN",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "DIRECTOR OF COUNSELING",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMHC",
    "AuthorizedOfficialTelephoneNumber": "904-722-3000",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "MH 4529",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.