JACKSONVILLE WOLFSON CHILDRENS HOSPITAL (NPI# 1861854564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861854564 |
| Entity Type | Organization |
| Organization Name | JACKSONVILLE WOLFSON CHILDRENS HOSPITAL |
| Practice Address |
14785 Old Saint Augustine Rd Jacksonville FL 32258-2496 |
| Mailing Address |
800 Prudential Dr Jacksonville FL 32207-8202 |
| Practice Telephone | 9043460394 |
| Mailing Telephone | 9042028000 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | MRS. SUZANNE GAETA-BARJE (REHAB SUPERVISOR) |
| Authorized Official Telephone | 9042921808 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
SLP006732 | GA | Ambulatory Health Care Facilities |
| Street Address |
14785 OLD SAINT AUGUSTINE RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-2496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494336 | Shannon Rene' Davis | Speech-Language Pathologist | 14785 Old Saint Augustine Rd, Jacksonville, FL 32258-2496 | 2005-08-22 |
| 1326587403 | Kyle Lavoie | Physical Therapy Assistant | 14785 Old Saint Augustine Rd, Jacksonville, FL 32258-2496 | 2017-02-22 |
| 1144570169 | Melissa Newman | Physical Therapist | 14785 Old Saint Augustine Rd, Jacksonville, FL 32258-2496 | 2012-09-17 |
| 1073832200 | Rachel West Kempfert | Physical Therapist | 14785 Old Saint Augustine Rd, Jacksonville, FL 32258-2496 | 2010-05-27 |
| 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 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 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 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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|---|---|---|---|---|
| 1992179782 | Lechris Couseling Services | Clinic/Center | 57 Office Park Dr, Jacksonville, NC 28546-7327 | 2015-11-17 |
| 1780088609 | Bloom Behavioral Solutions | Clinic/Center | 9141 Cypress Green Dr Ste 2, Jacksonville, FL 32256-2006 | 2014-10-21 |
| 1386901999 | Advanced Care Therapy Services, LLC | Clinic/Center | 9860 Beach Blvd, Suite C, Jacksonville, FL 32246-4704 | 2012-04-19 |
| 1912084294 | Hana Care Inc | Clinic/Center | 1771 Edgewood Ave W, Suite 6b, Jacksonville, FL 32208-3278 | 2006-11-01 |
| 1023053394 | Sunshine Therapy Center, Inc. | Clinic/Center | 6320 Saint Augustine Rd, Unit 1, Jacksonville, FL 32217-2800 | 2006-06-19 |
| 1912947748 | Genesis Rehabilitation Hospital, Inc. | Clinic/Center | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960704 | Victoria Garcia | Clinic/Center | 1252 Nw 32nd St, Miami, FL 33142-6143 | 2020-04-06 |
| 1043846454 | Recovery Is Hope, LLC | Clinic/Center | 2512 W Cherry St Apt E, Tampa, FL 33607-3355 | 2020-03-17 |
| 1245750967 | Semper Therapy Center Inc | Clinic/Center | 8500 Sw 8th Street, Suite 224, Miami, FL 33144 | 2017-06-23 |
| 1477089274 | Sardonyx Group Therapy Inc | Clinic/Center | 4320 W Broward Blvd Ste 4, Plantation, FL 33317-3756 | 2017-05-11 |
| 1548637671 | Lilypad Counseling Services | Clinic/Center | 9589 Verona Lakes Blvd, Boynton Beach, FL 33472-2759 | 2015-08-24 |
| 1144619610 | Tnr Staffing, LLC | Clinic/Center | 6141 Lakae Worth Road, Lake Worth, FL 33463-3807 | 2015-01-21 |
| 1144562612 | Jl X Ray Options, Inc | Clinic/Center | 10340 Nw 36th Ct, Miami, FL 33147-1036 | 2013-03-22 |
| 1609122639 | Ariel Perez | Clinic/Center | 4070 Nw 5 St, Miami, FL 33126 | 2012-07-27 |
| 1942572805 | Instituto Medico Del Dolor LLC | Clinic/Center | 717 Ponce De Leon Blvd Ste 218, Coral Gables, FL 33134-2048 | 2012-02-07 |
| 1902174683 | Pulyterapia Spa Corp | Clinic/Center | 9369 Fountainbleau Blvd Apt J108, Miami, FL 33172-5629 | 2011-12-08 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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| 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.