PALM LIFE MEDICAL ASSOCIATES PA


Address: 12494 Acosta Oaks Drive, Jacksonville, FL 32258
Phone: 4076377203

PALM LIFE MEDICAL ASSOCIATES PA (NPI# 1679092886) 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) 1679092886
Entity Type Organization
Organization Name PALM LIFE MEDICAL ASSOCIATES PA
Practice Address 12494 Acosta Oaks Drive
Jacksonville
FL 32258
Practice Telephone 4076377203
Practice Fax Number 4076377203
Mailing Telephone 4076377203
Mailing Fax Number 4076377203
Enumeration Date 2017-09-19
Last Update Date 2017-09-19
Authorized Official Name DR. ESAU LAURENCIN (PRESIDENT)
Authorized Official Telephone 4076377203
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Office Location

Street Address 12494 ACOSTA OAKS DRIVE
City JACKSONVILLE
State FL
Zip Code 32258

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
1992275572 William Lundgren Nurse Anesthetist, Certified Registered 3625 University Blvd South, Jacksonville, FL 32258 2018-11-27
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1679013932 Optometry Vision Care Pllc Optometrist 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 2017-03-06
1467991950 North Florida Vision Group Inc Optometrist 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 2017-02-16
1124576566 Revolution Chiropractic LLC Chiropractor 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-14
1396291936 Robyn Reaves Nurse Practitioner 12361 Richards Glen Ct, Jacksonville, FL 32258 2016-09-01
1326595927 Lauren Cost Chiropractor 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-01
1487991170 Mark Steven Colosimo Pharmacist 13820 Old St Augustine Road, Jacksonville, FL 32258 2013-01-15
1821301136 Alexandra G Vorobeva Optometrist 14688 Old St. Augustine Rd, Unit 110, Mail Box 10, Jacksonville, FL 32258 2010-07-15
Find all providers in zip 32258

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902404668 Tambolina Services Community Resident Home, Inc Assisted Living Facility 6285 Cranberry Ln W, Jacksonville, FL 32244-2559 2020-10-15
1316552284 Enhanced Universal Care Alf Assisted Living Facility 10967 Key Haven Blvd, Jacksonville, FL 32218-4463 2020-09-08
1710527270 Rosecastle of Jacksonville LLC Assisted Living Facility 8929 R G Skinner Pkwy, Jacksonville, FL 32256-9724 2020-01-13
1891353777 V & K Horizons Assisted Living Facility 7019 Mark St, Jacksonville, FL 32210-4889 2019-06-05
1144784638 Carole Stallworth Assisted Living Facility 5116 Mcmanus Dr, Jacksonville, FL 32210-6353 2019-01-29
1467921569 Heart To Heart LLC Assisted Living Facility 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 2018-11-19
1073090437 Lashonda Oglesby Assisted Living Facility 6313 Arlington Rd, Jacksonville, FL 32211-5423 2018-07-27
1831697218 Cortney Irene Matthews Assisted Living Facility 3109 Gilmore St, Jacksonville, FL 32205-5516 2018-01-31
1093222515 Anthem Lakes Assisted Living Facility 905 Assisi Ln, Jacksonville, FL 32233-2972 2018-01-05
1831608975 Silver Shores Living, Inc Assisted Living Facility 2317 Gilmore St, Jacksonville, FL 32204-3119 2017-09-20
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Competitor

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City JACKSONVILLE
Zip Code 32258

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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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