person
Tashiana Kelly
Point of Service in Jacksonville, Florida
NPI 1528666146

Tashiana Kelly is a Point of Service based in Jacksonville, FL. Tashiana Kelly practices in Jacksonville, FL. The NPI Number for Tashiana Kelly is 1528666146 and holds a License No. W689477 (Florida).

The current practice location address for Tashiana Kelly is 2611 University Blvd N Apt C203, Jacksonville, FL and can be reached out via phone at 904-248-2208. You can also correspond with Tashiana Kelly through the mailing address at 2611 UNIVERSITY BLVD N APT C203, JACKSONVILLE, FL - 32211-3287 (mailing address contact number: 904-248-2208).

Location: 2611 University Blvd N Apt C203, Jacksonville, FL, 32211-3287
person
Provider Profile Details
NPI Number
1528666146
Provider Name
Tashiana Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
2611 University Blvd N Apt C203, Jacksonville, FL, 32211-3287
Phone Number
904-248-2208
Fax Number
Provider Enumeration Date
10/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K400801859330 01 FL STATE IDENTIFICATION
institution
Provider Business Practice Location Address Details
Address
2611 University Blvd N Apt C203
City
State
Zip
32211-3287
Phone Number
904-248-2208
Fax Number
person
Provider Business Mailing Address Details
Address
2611 University Blvd N Apt C203
City
State
Zip
32211-3287
Phone Number
904-248-2208
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
License No.
W689477 (Florida)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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