| Prestige Senior Care | |
|
10151 Deerwood Park Blvd Ste 250 Jacksonville FL 32256-0566 | |
| (800) 438-6702 | |
| Not Available |
| Full Name | Prestige Senior Care |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 10151 Deerwood Park Blvd Ste 250, Jacksonville, Florida |
| Authorized Official Name and Position | Kimberly Mix (OWNER) |
| Authorized Official Contact | 9045455481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Senior Care 8450 Gate Pkwy W Unit 1330 Jacksonville FL 32216-1072 Ph: (904) 545-5481 | Prestige Senior Care 10151 Deerwood Park Blvd Ste 250 Jacksonville FL 32256-0566 Ph: (800) 438-6702 |
| NPI Number | 1275113565 |
|---|---|
| Provider Enumeration Date | 04/11/2021 |
| Last Update Date | 04/11/2021 |
| Certification Date | 04/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275113565 | NPI | - | NPPES |
| 1154907897 | Other | FL | HOME HEALTH AIDE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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