| Vonostir Innovation Services, L.l.c. | |
|
1406 Kingsley Ave Unit A2 Orange Park FL 32073-4590 | |
| (904) 290-4601 | |
| (904) 290-4587 |
| Full Name | Vonostir Innovation Services, L.l.c. |
|---|---|
| Speciality | Social Worker |
| Location | 1406 Kingsley Ave Unit A2, Orange Park, Florida |
| Authorized Official Name and Position | Kurt Wilhelm Oster (OWNER/CEO) |
| Authorized Official Contact | 9042904601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vonostir Innovation Services, L.l.c. 1406 Kingsley Ave Unit A2 Orange Park FL 32073-4590 Ph: (904) 290-4601 | Vonostir Innovation Services, L.l.c. 1406 Kingsley Ave Unit A2 Orange Park FL 32073-4590 Ph: (904) 290-4601 |
| NPI Number | 1942897582 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 10/16/2022 |
| Certification Date | 10/16/2022 |
| Medicare PECOS PAC ID | 7719375823 |
|---|---|
| Medicare Enrollment ID | O20211022000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942897582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kurt Wihlem Oster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558697383 PECOS PAC ID: 4183012297 Enrollment ID: I20211022000029 |
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