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NPI Code Detail

MEDICARE: SKYLIGHT HEALTH OF FLORIDA CLINICS PA

MEDICARE: SKYLIGHT HEALTH OF FLORIDA CLINICS PA
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
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1629713326
Entity Type Code : Organization
Provider Name (Legal Business Name) : SKYLIGHT HEALTH OF FLORIDA CLINICS PA
Provider Business Mailing Address
First Line : 5520 EXPLORER DRIVE
Second Line : SUITE 402
City : MISSISSAUGA
State : ONTARIO
Zip : L4W5L1
Country : CA
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 630 JACKSONVILLE DR
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3814
Country : US
Telephone Number : 844-644-8880
Fax Number :
Authorized Official
Title or Position : CONTROLLER
Name : FAROOQ AKHTER
Credential :
Telephone Number : 855-874-4999
Provider Enumeration Date : 04/28/2022
Last Update Date : 04/28/2022

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Directions to “SKYLIGHT HEALTH OF FLORIDA CLINICS PA ” Practice Location

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