MARVINA SCRUGGS NPI 1609343474

NPI Information

NPI: 1609343474
Provider Name: MARVINA SCRUGGS
Classification: Clinic/Center - 261QD1600X
Entity Type: Individual

Specialization: Developmental Disabilities

Address:
379 E 47TH ST
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 726-7970
Get Directions

Marvina Scruggs is a developmental disabilities clinic center in Jacksonville, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). Marvina Scruggs NPI is 1609343474. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

379 E 47TH ST
JACKSONVILLE, FL
ZIP 32208-463
Phone: (904) 726-7970

The enumeration date for this NPI number is 10/30/2018 and was last updated on 12/27/2018.

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	251E00000X	Home Health				No
2	372600000X	Adult Companion		235397	FLORIDA	No
3	261QD1600X	Clinic/Center	Developmental Disabilities			Yes
4	374U00000X	Home Health Aide				No
5	385H00000X	Respite Care				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	81-1835965	OTHER	FLORIDA	IRS

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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