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Organization

DEEP BEAUTY LLC

Active
Other names
Accessible Home Care Jacksonville
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BORIS O BERGUS MD (ADMINISTRATOR)
(508) 769-2707
Entity
Organization

Contact information

Practice address
4131 UNIVERSITY BLVD S STE 10, JACKSONVILLE, FL 32216-4346
(904) 687-2412
(904) 683-5095
Mailing address
244 SILVER GLEN AVE, SAINT AUGUSTINE, FL 32092-2470
(508) 769-2707
(904) 683-5095

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
04/23/2026
Last updated
04/27/2026
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