Alf 8860 Adrd Training Provider Llc. | |
7990 Baymeadows Rd E Unit 1001 Jacksonville FL 32256-2977 | |
(904) 379-7359 | |
(904) 379-7359 |
Full Name | Alf 8860 Adrd Training Provider Llc. |
---|---|
Speciality | Psychologist - Intellectual & Developmental Disabilities |
Location | 7990 Baymeadows Rd E Unit 1001, Jacksonville, Florida |
Authorized Official Name and Position | Erica Kay Evans (ADMINISTRATOR) |
Authorized Official Contact | 9043797359 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alf 8860 Adrd Training Provider Llc. 7990 Baymeadows Rd E Unit 1001 Jacksonville FL 32256-2977 Ph: (904) 379-7359 | Alf 8860 Adrd Training Provider Llc. 7990 Baymeadows Rd E Unit 1001 Jacksonville FL 32256-2977 Ph: (904) 379-7359 |
NPI Number | 1013572304 |
---|---|
Provider Enumeration Date | 05/02/2019 |
Last Update Date | 05/02/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013572304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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