Organization
JACKSONVILLE MANAGEMENT AND STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN CHOPRA M.D. (OWNER)
(203) 300-4820
Entity
Organization
Contact information
Practice address
13500 SUTTON PARK DR S, 403, JACKSONVILLE, FL 32224-5251
(904) 400-5703
Mailing address
445 8TH AVE N, B, JACKSONVILLE BEACH, FL 32250-5760
(203) 300-4820
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
FL
251F00000X
Home Infusion Agency
—
FL
251G00000X
Community Based Hospice Care Agency
—
FL
251J00000X
Nursing Care Agency
Primary
—
FL
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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