CAMDEN ELITE CARE LLC NPI 1881219277

NPI Information

NPI: 1881219277
Provider Name: CAMDEN ELITE CARE LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2212084

Address:
10257 MAGNOLIA RIDGE DR
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 528-6357
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CAMDEN ELITE CARE LLC is a general practice in Jacksonville, FL. CAMDEN ELITE CARE LLC NPI is 1881219277. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10257 MAGNOLIA RIDGE DR
JACKSONVILLE, FL
ZIP 32210-991
Phone: (904) 528-6357

The provider's authorized official is La Toya Dawson .
The authorized official title is Billing Director and has the following contact phone number (352) 231-7551.

The CLIA number assigned to this NPI record is 10D2212084 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2020 and was last updated on 9/12/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			No
2	208D00000X	General Practice				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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