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Contact Information

SLRC JACKSONVILLE LLC
14286 BEACH BLVD STE 118
JACKSONVILLE, FL32250-1561
 Phone: 727-418-2567
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SLRC JACKSONVILLE LLC

NPI Number 1225674849
LBN Legal business name SLRC JACKSONVILLE LLC
Authorized official STEPHEN LOMONICO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2019
Last updated 11/19/2019 - 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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