| Primary Plus Occupational Health Care | |
|
3599 University Blvd S Ste 404 Jacksonville FL 32216-4232 | |
| (904) 800-9534 | |
| Not Available |
| Full Name | Primary Plus Occupational Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 3599 University Blvd S Ste 404, Jacksonville, Florida |
| Authorized Official Name and Position | Elizabeth Jahjah (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 9546089040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Plus Occupational Health Care 12243 Ridge Forest Ln Jacksonville FL 32246-9336 Ph: (954) 608-9040 | Primary Plus Occupational Health Care 3599 University Blvd S Ste 404 Jacksonville FL 32216-4232 Ph: (904) 800-9534 |
| NPI Number | 1417543331 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 02/04/2021 |
| Medicare PECOS PAC ID | 0143635037 |
|---|---|
| Medicare Enrollment ID | O20210301000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417543331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Jahjah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144767971 PECOS PAC ID: 7416216254 Enrollment ID: I20180124000563 |
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