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NPI Code Detail

MEDICARE: VISITING ANGELS

MEDICARE: VISITING ANGELS
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
1251E00000XHome Health Agency299994100FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12999994100OTHERFLHOME HEALTH AGENCY
2251E00000XOTHERFLTAXONOMY

General Provider Information

NPI Number : 1326416215
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISITING ANGELS
Provider Business Mailing Address
First Line : 2064 PARK ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-3810
Country : US
Telephone Number : 904-302-7560
Fax Number : 904-352-2357
Provider Business Practice Location Address
First Line : 2064 PARK ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-3810
Country : US
Telephone Number : 904-302-7560
Fax Number : 904-352-2357
Authorized Official
Title or Position : GENERAL MANAGER
Name : MRS. DANA LYNN SCHMANKE
Credential :
Telephone Number : 904-302-7560
Provider Enumeration Date : 09/09/2015
Last Update Date : 09/09/2015

Similar Medicare Providers

1548119423 — DAVID SELBER LMHC
Practice Location Address:
2064 PARK ST
JACKSONVILLE, FL
32204-3810
Practice Phone: 904-469-0099
Practice Fax:
1366932634 — CASEY MICHAEL MCNEILL PTA
Practice Location Address:
2054 PARK ST
JACKSONVILLE, FL
32204-3810
Practice Phone: 352-895-4854
Practice Fax:
1780473298 — DUVAL MEDICAL, P.A.
Practice Location Address:
2064 PARK ST
JACKSONVILLE, FL
32204-3810
Practice Phone: 859-550-6526
Practice Fax:
1952389439 — LYNN EDNA BRUESKE ED.S., LMHC
Practice Location Address:
3810-1 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL
32257-9220
Practice Phone: 904-733-9669
Practice Fax: 904-733-4194
1336127711 — DR. ROBERT SCOTT WALTON PH.D.
Practice Location Address:
3810-1 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL
32257-9220
Practice Phone: 904-733-9669
Practice Fax: 904-733-4194
1164442539 — VAN ANTHONY FISER LCSW
Practice Location Address:
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL
32257-9220
Practice Phone: 904-419-9102
Practice Fax: 904-739-2153

Directions to “VISITING ANGELS ” Practice Location

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