Organization
SECOND BEGINNINGS SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE DUNCAN (EXECUTIVE DIRECTOR)
(904) 438-2577
Entity
Organization
Contact information
Practice address
6712 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8730
(904) 438-2558
(904) 438-2578
Mailing address
6712 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8730
(904) 438-2558
(904) 438-2578
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003016600
—
FL
05
—
142632096
—
FL
05
—
142632098
—
FL
Enumeration date
02/12/2011
Last updated
03/27/2012
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