| Firsthand Health Of Florida Pa | |
|
8384 Baymeadows Rd Ste 4 Jacksonville FL 32256-7486 | |
| (844) 378-4263 | |
| Not Available |
| Full Name | Firsthand Health Of Florida Pa |
|---|---|
| Speciality | General Practice |
| Location | 8384 Baymeadows Rd Ste 4, Jacksonville, Florida |
| Authorized Official Name and Position | Joseph Parks (CEO) |
| Authorized Official Contact | 5738648733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firsthand Health Of Florida Pa 524 Broadway Fl 11 New York NY 10012-4471 Ph: (844) 378-4263 | Firsthand Health Of Florida Pa 8384 Baymeadows Rd Ste 4 Jacksonville FL 32256-7486 Ph: (844) 378-4263 |
| NPI Number | 1316685605 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 7315320314 |
|---|---|
| Medicare Enrollment ID | O20220823002883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316685605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Sharine Wishart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548207335 PECOS PAC ID: 3274601752 Enrollment ID: I20081010000333 |
| Provider Name | Joseph J. Parks |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003898495 PECOS PAC ID: 5496668204 Enrollment ID: I20220823002990 |
| Provider Name | Stacy Wason-fawver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194143347 PECOS PAC ID: 2466672142 Enrollment ID: I20221014002959 |
| Provider Name | Chelsea Hall-mcarthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053085423 PECOS PAC ID: 1658747654 Enrollment ID: I20221017000897 |
| Provider Name | Kandace Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417430190 PECOS PAC ID: 1557615465 Enrollment ID: I20221017001376 |
| Provider Name | Ana Dasilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376870451 PECOS PAC ID: 8325188550 Enrollment ID: I20230428000285 |
| Provider Name | Ashlee Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962874230 PECOS PAC ID: 4880941012 Enrollment ID: I20240117002968 |
| Provider Name | Tera Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174081632 PECOS PAC ID: 1355776543 Enrollment ID: I20240126001622 |
| Provider Name | Adam Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558626689 PECOS PAC ID: 2961659586 Enrollment ID: I20240202003578 |
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