# ALIVIA CARE SOLUTIONS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alivia Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487407235
- **Authorized official:** SUSAN PONDER-STANSEL (PRESIDENT & CEO)
- **Authorized official phone:** (904) 407-5050

## Contact information

- **Practice address:** 4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
- **Practice address phone:** (904) 268-5200
- **Mailing address:** 4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
- **Mailing address phone:** (904) 407-5050
- **Mailing address fax:** (904) 407-8123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2024
- **Last updated:** 04/10/2024