Dignitas Health Llc | |
6817 Southpoint Pkwy Ste 802 Jacksonville FL 32216-6292 | |
(904) 422-8038 | |
Not Available |
Full Name | Dignitas Health Llc |
---|---|
Speciality | Clinic/Center |
Location | 6817 Southpoint Pkwy Ste 802, Jacksonville, Florida |
Authorized Official Name and Position | Jose Alves Silva (OWNER) |
Authorized Official Contact | 9044228038 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dignitas Health Llc 12860 Daybreak Ct E Jacksonville FL 32246-7095 Ph: (904) 422-8038 | Dignitas Health Llc 6817 Southpoint Pkwy Ste 802 Jacksonville FL 32216-6292 Ph: (904) 422-8038 |
NPI Number | 1801642277 |
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Provider Enumeration Date | 04/26/2024 |
Last Update Date | 04/26/2024 |
Medicare PECOS PAC ID | 6103369079 |
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Medicare Enrollment ID | O20240619002486 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801642277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jose A. Silva |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225081359 PECOS PAC ID: 4284525304 Enrollment ID: I20040320000025 |
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