MEDICARE: EMILY LAHOOD

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	251C00000X	Developmentally Disabled Services Day Training Agency	04167578Z	FL

General Provider Information

NPI Number	:	1831052539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY LAHOOD

Provider Business Mailing Address
First Line	:	4132 JILLIAN DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-9797
Country	:	US
Telephone Number	:	508-335-8269
Fax Number	:

Provider Business Practice Location Address
First Line	:	4132 JILLIAN DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-9797
Country	:	US
Telephone Number	:	508-335-8269
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/15/2025

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Directions to “ EMILY LAHOOD ” Practice Location

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