Organization
CEREBRAL PALSY OF NORTHEAST FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY PETERS (CEO PRESIDENT)
(904) 396-1462
Entity
Organization
Contact information
Practice address
3311 BEACH BLVD, JACKSONVILLE, FL 32207-3704
(904) 396-1462
(904) 396-1199
Mailing address
3311 BEACH BLVD, JACKSONVILLE, FL 32207-3704
(904) 396-1462
(904) 396-1199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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