MEDICARE: KARLEE PEACOCK

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
1	222Q00000X	Developmental Therapist		FL

General Provider Information

NPI Number	:	1245735240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLEE PEACOCK

Provider Business Mailing Address
First Line	:	13121 ATLANTIC BLVD STE 200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-0102
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13121 ATLANTIC BLVD STE 200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-0102
Country	:	US
Telephone Number	:	904-491-2111
Fax Number	:	904-512-0613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2018
Last Update Date	:	03/29/2018

Similar Medicare Providers

1578790531 — DR. TALHA ALI SIDDIQUI M.D.
Practice Location Address:

13121 ATLANTIC BLVD STE 100
JACKSONVILLE, FL
32225-0102

Practice Phone: 516-209-7311
Practice Fax:

1043298706 — DR. DONNA B TREESH D.O.
Practice Location Address:

13121 ATLANTIC BLVD STE 100
JACKSONVILLE, FL
32225-0102

Practice Phone: 904-221-2232
Practice Fax: 904-244-3455

1467861419 — MR. MICHAEL ERLE HANCOCK RBT, MA
Practice Location Address:

13121 ATLANTIC BLVD STE 200
JACKSONVILLE, FL
32225-0102

Practice Phone: 904-491-2111
Practice Fax: 904-512-0613

1093261737 — KELLY WEEDON NODA BCBA
Practice Location Address:

13121 ATLANTIC BLVD STE 200
JACKSONVILLE, FL
32225-0102

Practice Phone: 904-491-2111
Practice Fax:

1902302938 — ADRIANA CHERE BROADWAY
Practice Location Address:

13121 ATLANTIC BLVD STE 200
JACKSONVILLE, FL
32225-0102

Practice Phone: 904-491-2111
Practice Fax: 904-512-0613

1235615394 — RYAN DEAN JAMES RBT
Practice Location Address:

13121 ATLANTIC BLVD STE 200
JACKSONVILLE, FL
32225-0102

Practice Phone: 850-607-6972
Practice Fax: 850-607-6932

Directions to “ KARLEE PEACOCK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.