# NORTHEAST FLORIDA AIDS NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NFAN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740480540
- **Authorized official:** DONNA FUCHS (DIRECTOR)
- **Authorized official phone:** (904) 356-1612

## Contact information

- **Practice address:** 2715 OAK ST, JACKSONVILLE, FL 32205-8204
- **Practice address phone:** (904) 356-1612
- **Practice address fax:** (904) 356-7095
- **Mailing address:** 2715 OAK ST, JACKSONVILLE, FL 32205-8204
- **Mailing address phone:** (904) 356-1612
- **Mailing address fax:** (904) 356-7095

## Taxonomy

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

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 06/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 691345800 | — | FL |