MEDICARE: IDEA FLORIDA, INC.

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	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1538844014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IDEA FLORIDA, INC.

Provider Business Mailing Address
First Line	:	IDEA RIVER BLUFF
Second Line	:	2354 UNIVERSITY BLVD NORTH
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211
Country	:	US
Telephone Number	:	904-577-5063
Fax Number	:

Provider Business Practice Location Address
First Line	:	IDEA RIVER BLUFF
Second Line	:	2354 UNIVERSITY BLVD NORTH
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211
Country	:	US
Telephone Number	:	904-577-5063
Fax Number	:

Authorized Official
Title or Position	:	REGIONAL DIRECTOR OF SPECIAL PROGRA
Name	:	MRS. DEBRA P. SCHOENINGER
Credential	:	MS
Telephone Number	:	904-577-5063

Provider Enumeration Date	:	06/21/2023
Last Update Date	:	01/26/2026

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