| Envision Primary Healthcare Llc | |
|
7317 Steventon Way Jacksonville FL 32244-8179 | |
| (904) 712-3380 | |
| Not Available |
| Full Name | Envision Primary Healthcare Llc |
|---|---|
| Speciality | General Practice |
| Location | 7317 Steventon Way, Jacksonville, Florida |
| Authorized Official Name and Position | Meredith Lewis (ARNP) |
| Authorized Official Contact | 9047123380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Primary Healthcare Llc 221 N Hogan St # 335 Jacksonville FL 32202-4201 Ph: (904) 712-3380 | Envision Primary Healthcare Llc 7317 Steventon Way Jacksonville FL 32244-8179 Ph: (904) 712-3380 |
| NPI Number | 1639643596 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 06/21/2023 |
| Medicare PECOS PAC ID | 8921347766 |
|---|---|
| Medicare Enrollment ID | O20190222000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639643596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Margaret Helen Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184050577 PECOS PAC ID: 7113151754 Enrollment ID: I20131014001517 |
| Provider Name | Meredith A Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184973331 PECOS PAC ID: 9335378462 Enrollment ID: I20140212000497 |
| Provider Name | Stella M Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871561373 PECOS PAC ID: 6103065453 Enrollment ID: I20180126001724 |
| Provider Name | Chandala Monique Hagans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417617069 PECOS PAC ID: 2860831369 Enrollment ID: I20240417000851 |
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