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Organization
ELLIS-MOORE COROPORATION
Active
Organization
ELLIS-MOORE COROPORATION
Active
Parent organization
JUMPSTART PEDIATRICS
Other names
JumpStart Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUMPSTART PEDIATRICS
Authorized official
MRS. JONI HUGHES R.N. (OWNER/ADMINISTRATOR)
(904) 710-0437
Entity
Organization
Contact information
Practice address
3901 UNIVERSITY BLVD S, SUITE 125, JACKSONVILLE, FL 32216-4312
(904) 683-4355
(904) 683-7089
Mailing address
3901 UNIVERSITY BLVD S, SUITE 125, JACKSONVILLE, FL 32216-4312
(904) 683-4355
(904) 683-7089
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
01/11/2025
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