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Organization

PURPOSEWORKS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHIRAY GRIFFIN (MANAGER)
(904) 651-6533
Entity
Organization

Contact information

Practice address
11701 PALM LAKE DR, APT 1610, JACKSONVILLE, FL 32218-0903
(904) 651-6533
Mailing address
11701 PALM LAKE DR, APT 1610, JACKSONVILLE, FL 32218-0903
(904) 651-6533

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
L16000039692
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912388810
FL
Enumeration date
03/11/2016
Last updated
03/11/2016
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