# CORNERSTONE OF JACKSONVILLE, INC.

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

## Provider details

- **NPI number:** 1750039400
- **Authorized official:** MR. DONALD CORLEY (ADMIN)
- **Authorized official phone:** (904) 730-5500

## Contact information

- **Practice address:** 9039 BEACH BLVD, JACKSONVILLE, FL 32216-4624
- **Practice address phone:** (904) 730-5500
- **Mailing address:** 9039 BEACH BLVD, JACKSONVILLE, FL 32216-4624
- **Mailing address phone:** (904) 730-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2022
- **Last updated:** 03/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 90395366 | SCHOOL | — |