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Organization
POPHEALTHCARE, LLC
Active
Organization
POPHEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PORTER (CREDENTIALING MANAGER)
(615) 630-0988
Entity
Organization
Contact information
Practice address
10739 DEERWOOD PARK BLVD STE 200, JACKSONVILLE, FL 32256-4839
(615) 721-7024
Mailing address
113 SEABOARD LN STE 200B, FRANKLIN, TN 37067-8282
(800) 793-7050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/30/2017
Last updated
07/10/2023
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