PRIMARY PLUS OCCUPATIONAL HEALTH CARE NPI 1417543331

NPI Information

NPI: 1417543331
Provider Name: PRIMARY PLUS OCCUPATIONAL HEALTH CARE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2219219

Address:
3599 UNIVERSITY BLVD S STE 404
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 800-9534
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PRIMARY PLUS OCCUPATIONAL HEALTH CARE is a primary care clinic center in Jacksonville, FL. PRIMARY PLUS OCCUPATIONAL HEALTH CARE NPI is 1417543331. The provider is registered as an organization entity type.

The provider's business location address is:

3599 UNIVERSITY BLVD S STE 404
JACKSONVILLE, FL
ZIP 32216-232
Phone: (904) 800-9534

The provider's authorized official is Elizabeth Jahjah .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (954) 608-9040.

The CLIA number assigned to this NPI record is 10D2219219 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2020 and was last updated on 2/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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