First Stop Healthcare Pllc | |
1912 Hamilton St Ste 205 Jacksonville FL 32210-2078 | |
(904) 717-0031 | |
(904) 717-0037 |
Full Name | First Stop Healthcare Pllc |
---|---|
Speciality | Clinic/Center |
Location | 1912 Hamilton St Ste 205, Jacksonville, Florida |
Authorized Official Name and Position | Lashandia K May (OWNER, PROVIDER) |
Authorized Official Contact | 9047170031 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Stop Healthcare Pllc 4085 Tyndel Creek Ct Jacksonville FL 32223-7474 Ph: (904) 483-1763 | First Stop Healthcare Pllc 1912 Hamilton St Ste 205 Jacksonville FL 32210-2078 Ph: (904) 717-0031 |
NPI Number | 1942806690 |
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Provider Enumeration Date | 12/08/2020 |
Last Update Date | 12/09/2023 |
Medicare PECOS PAC ID | 8921411109 |
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Medicare Enrollment ID | O20210107000563 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942806690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Lashandia King May |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992193684 PECOS PAC ID: 5698094902 Enrollment ID: I20150508000987 |
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