Pacifica Care Pllc

LBN: Pacifica Care Pllc
Pacifica Care Pllc is an health care organization with primary practice located at 13121 Atlantic Blvd Suite 100, Jacksonville FL 32225. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Pacifica Care Pllc can be contacted via phone (904) 221-2232, or through Arcanz, Peggy A via phone (904) 221-2232.

Contact Information

Primary practice address
13121 Atlantic Blvd Suite 100 Jacksonville FL 32225
Fax: (904) 221-2205
Website:
Authorized official contact:
Name: Arcanz, Peggy A

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 9102783 Florida
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X HCC8789 Florida

Profile Details

NPI number 1669775037
LBN Legal business name Pacifica Care Pllc
DBA Doing business as
Authorized official Arcanz, Peggy A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2010
Last updated Jan 10th, 2012 - about 12 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 1669775037 NPPES
Florida MEDICAID 292650400

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