Organization
ELLIS-MOORE CORPORATION
Active
Parent organization
ELLIS-MOORE CORPORATION
Other names
JumpStart Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIS-MOORE CORPORATION
Authorized official
MRS. JONI HUGHES RN, BSN, CCRN (ADMINISTRATOR/OWNER)
(904) 710-0437
Entity
Organization
Contact information
Practice address
7207 GOLDEN WINGS RD STE 300, JACKSONVILLE, FL 32244-3324
(904) 710-0437
(904) 475-2706
Mailing address
3901 UNIVERSITY BLVD S STE 125, JACKSONVILLE, FL 32216-4375
(904) 710-0437
(904) 475-2706
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019233500
—
FL
Enumeration date
01/08/2025
Last updated
01/08/2025
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