# CRUCIALIST LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1528671096
- **Authorized official:** PETER HITCHENS (CORPORATE DEVELOPMENT ASSOCIATE)
- **Authorized official phone:** (904) 652-9495

## Contact information

- **Practice address:** 4230 PABLO PROFESSIONAL CT STE 103, JACKSONVILLE, FL 32224-3223
- **Practice address phone:** (888) 999-8959
- **Mailing address:** 4230 PABLO PROFESSIONAL CT STE 103, JACKSONVILLE, FL 32224-3223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2020
- **Last updated:** 08/25/2020
