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NPI Code Detail

MEDICARE: DUVAL COUNTY PUBLIC SCHOOLS

MEDICARE: DUVAL COUNTY PUBLIC SCHOOLS
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
1251300000XLocal Education Agency (LEA)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720281645
Entity Type Code : Organization
Provider Name (Legal Business Name) : DUVAL COUNTY PUBLIC SCHOOLS
Provider Business Mailing Address
First Line : 1701 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8152
Country : US
Telephone Number : 904-390-2652
Fax Number : 904-390-2157
Provider Business Practice Location Address
First Line : 1701 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8152
Country : US
Telephone Number : 904-390-2652
Fax Number : 904-390-2157
Authorized Official
Title or Position : BUDGET ANALYST JUNIOR
Name : MRS. SEVERINA LAXAMANA CAMACHO
Credential :
Telephone Number : 904-390-2652
Provider Enumeration Date : 06/07/2007
Last Update Date : 08/22/2020

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Directions to “DUVAL COUNTY PUBLIC SCHOOLS ” Practice Location

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