SAN JOSE FAMILY DENISTRY NPI 1942612502

NPI Information

SAN JOSE FAMILY DENISTRY is a durable medical equipment medical supplies in Jacksonville, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SAN JOSE FAMILY DENISTRY NPI is 1942612502. The provider is registered as an organization entity type.

The provider's business location address is:

9310 OLD KINGS RD S STE 601
JACKSONVILLE, FL
ZIP 32257-178
Phone: (904) 737-8081
Fax: (904) 737-3343

The provider's authorized official is Shonda Allemand .
The authorized official title is Front Office and has the following contact phone number (904) 737-8081.

The CLIA number assigned to this NPI record is 10D2236864 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2014 and was last updated on 5/29/2014.

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:

Other Identifiers

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