Organization
ALARICHEALTHLAKECITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C WHITED JR. APRN (OWNER)
(904) 384-9007
Entity
Organization
Contact information
Practice address
455 EDGEWOOD AVE S, JACKSONVILLE, FL 32205-3727
(904) 384-9007
(904) 384-2899
Mailing address
455 EDGEWOOD AVE S, JACKSONVILLE, FL 32205-3727
(904) 384-9007
(904) 384-2899
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
05/23/2024
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