CMS JACKSONVILLE NPI 1093781064

NPI Information

CMS JACKSONVILLE is a public health or welfare in Jacksonville, FL. CMS JACKSONVILLE NPI is 1093781064. The provider is registered as an organization entity type.
The provider Other Name Is Florida Department Of Health Childrens Medical Services.

The provider's business location address is:

910 NORTH JEFFERSON STREET
JACKSONVILLE, FL
ZIP 32209-810
Phone: (904) 360-7070
Fax: (904) 798-4568

The provider's authorized official is Cathy Keathley .
The authorized official title is Program Administrator and has the following contact phone number (352) 334-1394.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 8/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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