Organization
OPTIMUM FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA HENDERSON APRN (OWNER)
(904) 402-5539
Entity
Organization
Contact information
Practice address
9424 BAYMEADOWS RD STE 250, JACKSONVILLE, FL 32256-7967
(904) 402-5539
Mailing address
9424 BAYMEADOWS RD STE 250, JACKSONVILLE, FL 32256-7967
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN9205601
STATE LICENSE
—
Enumeration date
10/05/2021
Last updated
10/20/2021
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