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NPI Code Detail

MEDICARE: ISAAC CUYLER JR. CAP

MEDICARE: ISAAC CUYLER JR. CAP
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCAP100331FL

General Provider Information

NPI Number : 1336910165
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAAC CUYLER JR. CAP
Provider Business Mailing Address
First Line : 2600 ART MUSEUM DR APT 162
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-4846
Country : US
Telephone Number : 850-570-0548
Fax Number :
Provider Business Practice Location Address
First Line : 2600 ART MUSEUM DR APT 162
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-4846
Country : US
Telephone Number : 850-570-0548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2024
Last Update Date : 01/10/2024

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