Organization
CLARITY & TRANSFORMATION
Active
Other names
CLARITY PSYCHIATRIC SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MARK LAQUIDARA APRN (PSYCHIATRIC NURSE PRACTITIONER/CEO)
(904) 377-7903
Entity
Organization
Contact information
Practice address
1912 HAMILTON STREET, SUITE 102, JACKSONVILLE, FL 32210
(904) 377-7903
Mailing address
5075 ORTEGA COVE CIRCLE, JACKSONVILLE, FL 32244
(904) 377-7903
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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