| Lucid Star Healthcare Of Florida | |
|
841 Prudential Dr 12th. Floor Jacksonville FL 32207-8329 | |
| (877) 296-2293 | |
| Not Available |
| Full Name | Lucid Star Healthcare Of Florida |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 841 Prudential Dr, Jacksonville, Florida |
| Authorized Official Name and Position | Chris Tobey (DIRECTOR) |
| Authorized Official Contact | 9045348814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucid Star Healthcare Of Florida 841 Prudential Dr 12th. Floor Jacksonville FL 32207-8329 Ph: (877) 296-2293 | Lucid Star Healthcare Of Florida 841 Prudential Dr 12th. Floor Jacksonville FL 32207-8329 Ph: (877) 296-2293 |
| NPI Number | 1265825145 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 03/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265825145 | NPI | - | NPPES |
| 007140900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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