POPHEALTHCARE LLC NPI 1164943957

NPI Information

POPHEALTHCARE, LLC is a family nurse practitioner in Jacksonville, FL. POPHEALTHCARE, LLC NPI is 1164943957. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10739 DEERWOOD PARK BLVD STE 200
JACKSONVILLE, FL
ZIP 32256-839
Phone: (615) 721-7024

The provider's authorized official is Kirk Stanley .
The authorized official title is Chief Financial Officer and has the following contact phone number (615) 721-7023.

The CLIA number assigned to this NPI record is 10D2135608 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2017 and was last updated on 6/30/2017.

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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