West Jax Skilled Nursing
LBN: West Jax Skilled Nursing
West Jax Skilled Nursing is an health care organization with primary practice located at 100 Cypress Lagoon Ct , Ponte Vedra Beach FL 32082-2106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
West Jax Skilled Nursing can be contacted via phone (904) 783-2405, or through Sharpe, Michael Victor via phone (904) 783-2405.
Contact Information
Primary practice address
100 Cypress Lagoon Ct
Ponte Vedra Beach FL 32082-2106
Phone: (904) 783-2405
Fax: (904) 786-4981
Website:
Authorized official contact:
Name: Sharpe, Michael Victor Doctor of Medicine (MD)
Phone: (904) 783-2405
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1750382669 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1285048280 | Florida |
Profile Details
| NPI number | 1063898864 |
|---|---|
| LBN Legal business name | West Jax Skilled Nursing |
| DBA Doing business as | |
| Authorized official | Sharpe, Michael Victor Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 4th, 2015 |
| Last updated | Aug 4th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063898864 | NPPES |
| Florida | MEDICAID | 620455400 |
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