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NPI Code Detail

MEDICARE: OLIVIA DIFRANK

MEDICARE: OLIVIA DIFRANK
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
1106H00000XMarriage & Family TherapistMT5347FL
2247200000XOther Technician

General Provider Information

NPI Number : 1710374087
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA DIFRANK
Provider Business Mailing Address
First Line : 5776 SAINT AUGUSTINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8046
Country : US
Telephone Number : 904-448-4700
Fax Number : 904-448-4717
Provider Business Practice Location Address
First Line : 5776 SAINT AUGUSTINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8046
Country : US
Telephone Number : 904-448-4700
Fax Number : 904-448-4717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2015
Last Update Date : 11/13/2025

Similar Medicare Providers

1831976273 — KATLYN HERMONES BRIGMAN MA
Practice Location Address:
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL
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Practice Phone: 904-676-8912
Practice Fax:
1821789447 — KAITLYN ELLENE OSBORN MS
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Practice Fax:
1477801215 — MS. LARESA S CHENEY
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Practice Fax:
1922349646 — VIRGINIA GRACE SUMNER M.ED, ED.S
Practice Location Address:
5776 SAINT AUGUSTINE RD # 8030
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32207-8046
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Practice Fax:
1982046777 — MICHAEL A GIEBELHOUSE MA, LMHC
Practice Location Address:
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL
32207-8046
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Practice Fax:
1407249436 — APRIL MANNING RMHCI
Practice Location Address:
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL
32207-8046
Practice Phone: 904-448-4700
Practice Fax: 904-448-4717

Directions to “ OLIVIA DIFRANK ” Practice Location

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