Organization
BEHAVIORAL HEALTH SERVICES OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN HEAPS (OWNER)
(904) 490-0264
Entity
Organization
Contact information
Practice address
140 S BEACH ST STE 202, DAYTONA BEACH, FL 32114-4409
(904) 490-0264
Mailing address
140 S BEACH ST STE 202, DAYTONA BEACH, FL 32114-4409
(904) 490-0264
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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