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Contact Information

SHOPJVEON LLC
15402 HIDDEN FOAL DRIVE
JACKSONVILLE, FL32234
 Phone: 904-415-7664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for SHOPJVEON LLC

NPI # 1467923946
LBN Legal business name SHOPJVEON LLC
Authorized official JAYVEON PETERSON - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/10/2018
Last updated 12/10/2018 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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