# FAMILY SUPPORT SERVICES OF NORTH FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174552046
- **Authorized official:** MR. LEE E WILSON CPA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (904) 421-5816

## Contact information

- **Practice address:** 4057 CARMICHAEL AVE, BUILDING 3000, SUITE 101, JACKSONVILLE, FL 32207-2336
- **Practice address phone:** (904) 421-5800
- **Practice address fax:** (904) 421-5801
- **Mailing address:** 4057 CARMICHAEL AVE, BUILDING 3000, SUITE 101, JACKSONVILLE, FL 32207-2336
- **Mailing address phone:** (904) 421-5800
- **Mailing address fax:** (904) 421-5801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 08/22/2020