Doctors Lake Of Orange Park

LBN: Sv - Jupiter Properties Inc
Doctors Lake Of Orange Park is an health care organization with primary practice located at 833 Kingsley Ave , Orange Park FL 32073-4701. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Sv - Jupiter Properties Inc can be contacted via phone (904) 269-2610, or through Nelson, Rhonda via phone (864) 578-6599.

Contact Information

Primary practice address
833 Kingsley Ave Orange Park FL 32073-4701
Phone: (904) 269-2610
Fax: (904) 269-0873
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Rhonda
Phone: (864) 578-6599

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1237096 Florida

Profile Details

NPI number 1629053962
LBN Legal business name Sv - Jupiter Properties Inc
DBA Doing business as Doctors Lake Of Orange Park
Authorized official Nelson, Rhonda
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2005
Last updated Jun 6th, 2013 - about 11 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 1629053962 NPPES
Florida MEDICAID 022388300

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