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Ten Broeck Jacksonville Llc
Psychiatric Hospital in Jacksonville, Florida
NPI 1497758312

Ten Broeck Jacksonville Llc is a Psychiatric Hospital based in Jacksonville, FL. Ten Broeck Jacksonville Llc practices in Jacksonville, FL. The NPI Number for Ten Broeck Jacksonville Llc is 1497758312 and holds a License No. 4011 (Florida).

The current practice location address for Ten Broeck Jacksonville Llc is 6300 Beach Blvd, Jacksonville, FL and can be reached out via phone at 904-724-9202 and via fax at 904-724-3797.

Location: 6300 Beach Blvd, Jacksonville, FL, 32216-2708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497758312
Provider Name
Ten Broeck Jacksonville Llc
Credential
Provider Entity Type
Organization
Address
6300 Beach Blvd, Jacksonville, FL, 32216-2708
Phone Number
904-724-9202
Fax Number
904-724-3797
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
075144816 05 FL
institution
Provider Business Practice Location Address Details
Address
6300 Beach Blvd
City
Jacksonville
State
Florida
Zip
32216-2708
Phone Number
904-724-9202
Fax Number
904-724-3797
person
Provider Business Mailing Address Details
Address
6300 Beach Blvd
City
Jacksonville
State
Florida
Zip
32216-2708
Phone Number
904-724-9202
Fax Number
904-724-3797
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
4011 (Florida)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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