MEDICARE: E & I PICC PARTNERS 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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1871059840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E & I PICC PARTNERS INC

Provider Business Mailing Address
First Line	:	6431 POTTSBURG DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-7253
Country	:	US
Telephone Number	:	904-318-8491
Fax Number	:

Provider Business Practice Location Address
First Line	:	6431 POTTSBURG DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-7253
Country	:	US
Telephone Number	:	904-318-8491
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	AUBREY BLAIS
Credential	:	REGISTERED NURSE
Telephone Number	:	904-318-8491

Provider Enumeration Date	:	02/14/2019
Last Update Date	:	02/14/2019

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Directions to “E & I PICC PARTNERS INC ” Practice Location

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