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NPI Code Detail

MEDICARE: TBJ BEHAVIORAL CENTER LLC

MEDICARE: TBJ BEHAVIORAL CENTER LLC
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
12084P0800XPsychiatry Physician
2283Q00000XPsychiatric HospitalFL

General Provider Information

NPI Number : 1568633683
Entity Type Code : Organization
Provider Name (Legal Business Name) : TBJ BEHAVIORAL CENTER LLC
Provider Business Mailing Address
First Line : 6300 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2708
Country : US
Telephone Number : 904-724-9202
Fax Number : 904-306-0877
Provider Business Practice Location Address
First Line : 6300 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2708
Country : US
Telephone Number : 904-724-9202
Fax Number : 904-306-0877
Authorized Official
Title or Position : SR VP & CEO
Name : STEVE FILTON
Credential :
Telephone Number : 610-768-3300
Provider Enumeration Date : 03/17/2008
Last Update Date : 07/02/2024

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