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NPI Code Detail

MEDICARE: JCA HEALTH SERVICES LLC

MEDICARE: JCA HEALTH SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1043048192
Entity Type Code : Organization
Provider Name (Legal Business Name) : JCA HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 121 S ORANGE AVE STE 1500
Second Line :
City : ORLANDO
State : FL
Zip : 32801-3241
Country : US
Telephone Number : 689-240-9538
Fax Number :
Provider Business Practice Location Address
First Line : 121 S ORANGE AVE STE 1500
Second Line :
City : ORLANDO
State : FL
Zip : 32801-3241
Country : US
Telephone Number : 689-240-9538
Fax Number :
Authorized Official
Title or Position : PRACTICE MANAGER
Name : JAZMIN HERNANDEZ
Credential :
Telephone Number : 954-683-7890
Provider Enumeration Date : 07/22/2024
Last Update Date : 02/25/2025

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Directions to “JCA HEALTH SERVICES LLC ” Practice Location

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