Passionate Champion

LBN: Jessicadavisceo, Llc
Passionate Champion is an health care organization with primary practice located at 307 N Georgia Ave , Cocoa FL 32922-6222. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Jessicadavisceo, Llc can be contacted via phone (321) 557-8979, or through Davis, Jessica Alexandra via phone (321) 877-0328.

Contact Information

Primary practice address
307 N Georgia Ave Cocoa FL 32922-6222
Phone: (321) 557-8979
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Jessica Alexandra
Phone: (321) 877-0328

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1952951733
LBN Legal business name Jessicadavisceo, Llc
DBA Doing business as Passionate Champion
Authorized official Davis, Jessica Alexandra
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2019
Last updated Oct 1st, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952951733 NPPES
Florida Other 1952951733 N/A

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