Fresh Start Private Florida

LBN: Fresh Start Private Florida
Fresh Start Private Florida is an health care organization with primary practice located at 1415 Panther Ln , Naples FL 34109-7874. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Fresh Start Private Florida can be contacted via phone (239) 591-6240, or through Jackoboice, Timothy Jon via phone (239) 591-6240.

Contact Information

Primary practice address
1415 Panther Ln Naples FL 34109-7874
Phone: (239) 591-6240
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackoboice, Timothy Jon
Phone: (239) 591-6240

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1003166307
LBN Legal business name Fresh Start Private Florida
DBA Doing business as
Authorized official Jackoboice, Timothy Jon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2012
Last updated Sep 13th, 2012 - about 13 years ago

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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