MEDICARE: DERASH 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	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1770716037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DERASH INC

Provider Business Mailing Address
First Line	:	1459 LAKE BALDWIN LN
Second Line	:	SUITE A
City	:	ORLANDO
State	:	FL
Zip	:	32814-6741
Country	:	US
Telephone Number	:	407-893-3905
Fax Number	:	407-893-3906

Provider Business Practice Location Address
First Line	:	13453 N MAIN ST
Second Line	:	SUITE 306
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-2710
Country	:	US
Telephone Number	:	904-757-4688
Fax Number	:	904-757-5688

Authorized Official
Title or Position	:	DIRECTOR
Name	:	RAFIK BOUAZIZ
Credential	:
Telephone Number	:	904-334-0305

Provider Enumeration Date	:	09/02/2009
Last Update Date	:	09/02/2009

Similar Medicare Providers

1891645354 — LAURYN SOUVENIR
Practice Location Address:

13453 N MAIN ST
JACKSONVILLE, FL
32218-2710

Practice Phone: 904-955-2706
Practice Fax:

1215242359 — NORTH FLORIDA SLEEP SOLUTIONS INC
Practice Location Address:

13453 N MAIN ST , STE 304
JACKSONVILLE, FL
32218-2710

Practice Phone: 904-374-5226
Practice Fax: 904-374-3137

1346220951 — JAMES CARBERRY BEDLE DC
Practice Location Address:

2710 SOUTH THIRD ST
JACKSONVILLE BEACH, FL
32250

Practice Phone: 904-246-1512
Practice Fax: 904-246-8105

1356311260 — DR. JOHN ALAN DAVENPORT DC
Practice Location Address:

2710 S 3RD ST
JACKSONVILLE BEACH, FL
32250

Practice Phone: 904-246-1512
Practice Fax: 904-246-8105

1922263052 — DAVENPORT CHIROPRACTIC, P.A.
Practice Location Address:

2710 3RD ST S
JACKSONVILLE BEACH, FL
32250-6028

Practice Phone: 904-246-1512
Practice Fax: 904-246-8105

1992115836 — P A T H HEALTH CENTER INC
Practice Location Address:

2710 3RD ST S
JACKSONVILLE BEACH, FL
32250-6028

Practice Phone: 904-246-1512
Practice Fax:

Directions to “DERASH INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.