# COMMUNITY E.A.R.S.

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

## Provider details

- **NPI number:** 1750532123
- **Authorized official:** MR. MICHAEL S. PASTORELLO (PROGRAM MANAGER, CSC)
- **Authorized official phone:** (904) 725-9785

## Contact information

- **Practice address:** 4320 DEERWOOD LAKE PARKWAY, SUITE 101-307, JACKSONVILLE, FL 32216
- **Practice address phone:** (904) 396-5702
- **Practice address fax:** (904) 725-9785
- **Mailing address:** 4320 DEERWOOD LAKE PARKWAY, SUITE 101-307, JACKSONVILLE, FL 32216
- **Mailing address phone:** (904) 396-5702
- **Mailing address fax:** (904) 725-9785

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2008
- **Last updated:** 03/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 686732401 | — | FL |
| 01 | — | 686732479 | AHCA | FL |
| 01 | — | 687409600 | DOEA / AHCA | FL |