First Coast Community Wellness Services Llc
LBN: First Coast Community Wellness Services Llc
First Coast Community Wellness Services Llc is an health care organization with primary practice located at 5610 Fort Caroline Rd , Jacksonville FL 32277-1799. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
First Coast Community Wellness Services Llc can be contacted via phone (904) 374-4637, or through Johnson, Monica via phone (904) 497-2192.
Contact Information
Primary practice address
5610 Fort Caroline Rd
Jacksonville FL 32277-1799
Phone: (904) 374-4637
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ||
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
NPI number | 1336879097 |
---|---|
LBN Legal business name | First Coast Community Wellness Services Llc |
DBA Doing business as | |
Authorized official | Johnson, Monica DNP |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 15th, 2022 |
Last updated | May 23rd, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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