MEDICARE: CURAHEALTH JACKSONVILLE LLC

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	282E00000X	Long Term Care Hospital		FL

Other Identifiers

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

General Provider Information

NPI Number	:	1982110458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CURAHEALTH JACKSONVILLE LLC

Provider Business Mailing Address
First Line	:	1828 GOOD HOPE RD STE 102
Second Line	:
City	:	ENOLA
State	:	PA
Zip	:	17025-1203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4901 RICHARD ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-7328
Country	:	US
Telephone Number	:	904-737-3120
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANTHONY MISITANO
Credential	:
Telephone Number	:	717-731-9660

Provider Enumeration Date	:	12/20/2017
Last Update Date	:	11/29/2021

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