Organization
DESIRE HEALTH CARE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEYSEL ACOSTA (ADMINISTRATOR, CEO)
(904) 504-0504
Entity
Organization
Contact information
Practice address
3636 UNIVERSITY BLVD S STE A8, JACKSONVILLE, FL 32216-4210
(904) 553-4900
(866) 266-8160
Mailing address
3636 UNIVERSITY BLVD S STE A8, JACKSONVILLE, FL 32216-4210
(904) 553-4900
(866) 266-8160
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
251E00000X
Home Health Agency
299994677
FL
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013829200
—
FL
05
—
013841200
—
FL
05
—
015596600
—
FL
05
—
109727900
—
FL
Enumeration date
07/23/2014
Last updated
08/08/2025
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