Jack William Mounce, | |
551616 Us Highway 1, Hilliard, FL 32046-8281 | |
(904) 845-3574 | |
(904) 845-7418 |
Full Name | Jack William Mounce |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 551616 Us Highway 1, Hilliard, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154898666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 9385079 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN9385079 (Florida) | Primary |
Entity Name | St Vincent's Ambulatory Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Entity Name | Im Sulzbacher Center For The Homeless, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710051354 PECOS PAC ID: 2860652641 Enrollment ID: O20130815000630 |
Entity Name | Florida Institute Of Pain Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194056283 PECOS PAC ID: 4385769686 Enrollment ID: O20181127000946 |
Mailing Address | Practice Location Address |
---|---|
Jack William Mounce, 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: () - | Jack William Mounce, 551616 Us Highway 1, Hilliard, FL 32046-8281 Ph: (904) 845-3574 |
Amanda Lee West, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551616 Us Highway 1, Hilliard, FL 32046 Phone: 904-845-3574 Fax: 904-842-1041 | |
Diane C Thomas, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37203 Pecan St, Hilliard, FL 32046 Phone: 904-845-4761 Fax: 904-845-4076 | |
Ms. Kimberly Bravo, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551616 Us Highway 1, Hilliard, FL 32046 Phone: 904-845-3574 Fax: 904-842-1041 | |
Susan Urell Irvin, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 551616 Us Highway 1, Hilliard, FL 32046 Phone: 904-845-3574 Fax: 904-845-7418 | |
Elisabeth Francis Harris, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2564 Copperhead Ln, Hilliard, FL 32046 Phone: 912-253-2374 |