CRUCIALIST LLC


Address: 4230 Pablo Professional Ct Ste 103, Jacksonville, FL 32224-3223
Phone: 8889998959

CRUCIALIST LLC (NPI# 1528671096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528671096
Entity Type Organization
Organization Name CRUCIALIST LLC
Practice Address 4230 Pablo Professional Ct Ste 103
Jacksonville
FL 32224-3223
Practice Telephone 8889998959
Enumeration Date 2020-08-25
Last Update Date 2020-08-25
Authorized Official Name PETER HITCHENS (CORPORATE DEVELOPMENT ASSOCIATE)
Authorized Official Telephone 9046529495
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
4230 Pablo Professional Ct Ste 103, Jacksonville, FL 322243223 9046394357

Office Location

Street Address 4230 PABLO PROFESSIONAL CT STE 103
City JACKSONVILLE
State FL
Zip Code 32224-3223

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1639681471 Brigantti Anesthesia & Spine Care Clinic/Center 1361 13th Ave South Suite #210, Jacksonville, FL 32224 2017-11-02
1093240061 Beric Emilio Berlioz Anesthesiology 4500 San Pablo Rd S # J, Jacksonville, FL 32224 2017-04-26
1609240746 Matthew James Dailey Nurse Anesthetist, Certified Registered 2500 San Pablo Rd S, Jacksonville, FL 32224 2015-11-29
1003299603 Upscale Personal Care Home Assisted Living Facility 4375 Autumn River Road, Jacksonville, FL 32224 2015-07-01
1629459375 Bellanid Fonseca Social Worker 3694 Summerlin Ln E, Jacksonville, FL 32224 2015-06-17
1164840500 Nicholas Scotto Physical Therapist 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 2014-04-02
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1285111484 St Vincent's Full Service Urgent Care, LLC Clinic/Center 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 2018-07-20
1386147882 Family Care Partners Urgent Care, LLC Clinic/Center 1215 Dunn Ave Ste 1, Jacksonville, FL 32218-4897 2018-03-12
1619487006 American Current Care P.a . Clinic/Center 5995-1 University Blvd. West, Jacksonville, FL 32216-5935 2017-10-11
1447771670 Jacksonville Carenow Urgent Care, LLC Clinic/Center 4853 Town Center Pkwy, Jacksonville, FL 32246-8437 2017-06-28
1467999375 U.S. Medgroup, P.a. Clinic/Center 1036 Dunn Ave Ste 10, Jacksonville, FL 32218-6359 2017-01-30
1891927844 Accucare of North Florida Inc. Clinic/Center 5685 Norwood Ave, Jacksonville, FL 32208-5012 2009-08-10
1194950907 30 Minute Medical LLC Clinic/Center 8540 Argyle Forest Blvd, 5, Jacksonville, FL 32244-6702 2009-05-22
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Competitor

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City JACKSONVILLE
Zip Code 32224

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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