# AMOLE CARE LLC

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

## Provider details

- **NPI number:** 1396088183
- **Authorized official:** JACQUES H AMOLE (OWNER)
- **Authorized official phone:** (706) 818-2374

## Contact information

- **Practice address:** 4217 BAYMEADOWS RD, SUITE 3, JACKSONVILLE, FL 32217-4676
- **Practice address phone:** (904) 332-7431
- **Practice address fax:** (904) 332-7408
- **Mailing address:** 4217 BAYMEADOWS RD, SUITE 3, JACKSONVILLE, FL 32217-4676
- **Mailing address phone:** (904) 332-7431
- **Mailing address fax:** (904) 332-7408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | ARNP1084092 | FL | Yes |

## Other

- **Enumeration date:** 04/01/2013
- **Last updated:** 04/01/2013