| Desire Health Care Corp. | |
|
9471 Baymeadows Rd Ste 107 Jacksonville FL 32256-7968 | |
| (904) 504-0504 | |
| Not Available |
| Full Name | Desire Health Care Corp. |
|---|---|
| Speciality | General Practice |
| Location | 9471 Baymeadows Rd Ste 107, Jacksonville, Florida |
| Authorized Official Name and Position | Geysel Acosta (ADMINISTRATOR, CEO) |
| Authorized Official Contact | 9045040504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desire Health Care Corp. 9471 Baymeadows Rd Ste 107 Jacksonville FL 32256-7968 Ph: (904) 504-0504 | Desire Health Care Corp. 9471 Baymeadows Rd Ste 107 Jacksonville FL 32256-7968 Ph: (904) 504-0504 |
| NPI Number | 1215345160 |
|---|---|
| Provider Enumeration Date | 07/23/2014 |
| Last Update Date | 05/09/2024 |
| Medicare PECOS PAC ID | 6406142405 |
|---|---|
| Medicare Enrollment ID | O20160830002865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215345160 | NPI | - | NPPES |
| 109727900 | Medicaid | FL | |
| 013829200 | Medicaid | FL | |
| 013841200 | Medicaid | FL | |
| 015596600 | Medicaid | FL |
| Provider Name | Clara Velosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548447592 PECOS PAC ID: 7517028806 Enrollment ID: I20081204000807 |
| Provider Name | Patricia Lorie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942541032 PECOS PAC ID: 5890938567 Enrollment ID: I20130828000101 |
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