Organization
SVILA SKIN SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA ANN HAINES NP (ARNP/OWNER)
(904) 425-4410
Entity
Organization
Contact information
Practice address
1936 SAN MARCO BLVD, JACKSONVILLE, FL 32207-3286
(904) 425-4410
(904) 425-4413
Mailing address
1936 SAN MARCO BLVD, JACKSONVILLE, FL 32207-3286
(904) 425-4410
(904) 425-4413
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
2898342
FL
302R00000X
Health Maintenance Organization
Primary
2898342
FL
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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