HOLY TRINITY COMMUNITY MEDICAL CENTER (NPI# 1831454248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831454248 |
Entity Type | Organization |
Organization Name | HOLY TRINITY COMMUNITY MEDICAL CENTER |
Practice Address |
4001 Confederate Point Rd Suite # 2 Jacksonville FL 32210-5459 |
Practice Telephone | 9049080046 |
Practice Fax Number | 9049080329 |
Mailing Telephone | 9049080046 |
Mailing Fax Number | 9049080329 |
Enumeration Date | 2012-07-11 |
Last Update Date | 2018-09-17 |
Authorized Official Name | DR. SHARON LISA ACEVEDO (PHYSICIAN) |
Authorized Official Telephone | 9049080046 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 277361600 | 05 |
Street Address |
4001 CONFEDERATE POINT RD SUITE # 2 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32210-5459 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
1811412539 | River City Companionship LLC | Clinic/Center | 7857 Delaroche Drive, Jacksonville, FL 32210 | 2017-08-03 |
1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
Find all providers in zip 32210 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
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1285231548 | American Current Care P.a. | Clinic/Center | 1524 Normandy Village Pkwy, Jacksonville, FL 32221-3222 | 2020-10-08 |
1053879437 | Healthletix Management, LLC | Clinic/Center | 3948 Sunbeam Rd Ste 7, Jacksonville, FL 32257-8931 | 2019-03-05 |
1972010346 | Path Medical, LLC | Clinic/Center | 9119 Merrill Rd Ste 32, Jacksonville, FL 32225-4306 | 2018-01-06 |
1730580366 | Inception Healthcare Solutions LLC | Clinic/Center | 14701 Bartram Park Blvd Unit 1118, Jacksonville, FL 32258-5296 | 2014-09-15 |
1407277171 | Csi-pediatric Services, Inc. | Clinic/Center | 10750 Atlantic Blvd, Suite 11, Jacksonville, FL 32225-2946 | 2013-12-26 |
1194057836 | Usimc of West Virginia Medical Corp | Clinic/Center | 7500 Centurion Pkwy Ste 100, Jacksonville, FL 32256-0517 | 2010-02-05 |
1437345014 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1584 Normandy Village Pkwy, Suite 32, Jacksonville, FL 32221-6800 | 2007-09-18 |
1508463845 | Concentra Medical Centers | Clinic/Center | 1524 Normandy Village Pkwy, Jacksonville, FL 32221-3222 | 2020-10-08 |
1174143986 | Mayo Clinic Jacksonville | Clinic/Center | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-04-22 |
1679002364 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 4933 University Blvd W, Jacksonville, FL 32216-5935 | 2017-06-07 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32210 |
Please comment or provide details below to improve the information on HOLY TRINITY COMMUNITY MEDICAL CENTER.
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.