# F O UR HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1710635412
- **Authorized official:** MISS TANYA FELICIA ADAMS ARNP (NURSE PRACTITIONER)
- **Authorized official phone:** (904) 377-3769

## Contact information

- **Practice address:** 3390 KORI RD STE 9, JACKSONVILLE, FL 32257-2419
- **Practice address phone:** (904) 377-3769
- **Mailing address:** 3191 KERNAN LAKE CIR APT 204, JACKSONVILLE, FL 32246-3338
- **Mailing address phone:** (190) 437-7376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2022
- **Last updated:** 04/15/2024