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Organization

JACKSONVILLE BEACH PSYCHIATRIC SERVICE

Active
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Organization

JACKSONVILLE BEACH PSYCHIATRIC SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE MARCOTTE (OWNER)
(954) 746-8232
Entity
Organization

Contact information

Practice address
390 16TH AVE S, JACKSONVILLE, FL 32250-4961
(954) 746-8232
Mailing address
390 16TH AVE S, JACKSONVILLE, FL 32250-4961

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL

Other

Enumeration date
12/29/2016
Last updated
01/03/2017
About Stedi
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  • Eligibility checks