institution
My Choice Operating Company Llc
Psychiatric/Mental Health Nurse Practitioner in Jacksonville, Florida
NPI 1174112007

My Choice Operating Company Llc is a Psychiatric/Mental Health Nurse Practitioner based in Jacksonville, FL and is specialized in Psychiatric/Mental Health. My Choice Operating Company Llc practices in Jacksonville, FL. The NPI Number for My Choice Operating Company Llc is 1174112007 and holds a License No. (Florida).

The current practice location address for My Choice Operating Company Llc is 4655 Salisbury Rd Ste 220, Jacksonville, FL and can be reached out via phone at 904-570-9404 and via fax at 904-900-2224.

Location: 4655 Salisbury Rd Ste 220, Jacksonville, FL, 32256-0957
institution
Provider Profile Details
NPI Number
1174112007
Provider Name
My Choice Operating Company Llc
Credential
Provider Entity Type
Organization
Address
4655 Salisbury Rd Ste 220, Jacksonville, FL, 32256-0957
Phone Number
904-570-9404
Fax Number
904-900-2224
Provider Enumeration Date
01/14/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10D2178878 01 FL CLIA
12550 01 FL AHCA
110526700 05 FL
institution
Provider Business Practice Location Address Details
Address
4655 Salisbury Rd Ste 220
City
State
Zip
32256-0959
Phone Number
904-570-9404
Fax Number
904-900-2224
person
Provider Business Mailing Address Details
Address
4655 Salisbury Rd Ste 220
City
State
Zip
32256-0959
Phone Number
904-570-9404
Fax Number
904-900-2224
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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