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NPI Code Detail

MEDICARE: VICTORIA LOVELACE

MEDICARE: VICTORIA LOVELACE
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
1247200000XOther Technician
2103K00000XBehavior Analyst1-21-47131FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326407909
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA LOVELACE
Provider Business Mailing Address
First Line : 1904 FARRAGUT PL
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3420
Country : US
Telephone Number : 904-503-0131
Fax Number : 636-600-2012
Provider Business Practice Location Address
First Line : 1904 FARRAGUT PL
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3420
Country : US
Telephone Number : 904-503-1031
Fax Number : 636-600-2012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2016
Last Update Date : 01/07/2025

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Directions to “ VICTORIA LOVELACE ” Practice Location

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