Organization
SV - JUPITER PROPERTIES INC
Active
Other names
Doctors Lake of Orange Park
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA NELSON (CONTROLLER)
(864) 578-6599
Entity
Organization
Contact information
Practice address
833 KINGSLEY AVE, ORANGE PARK, FL 32073-4701
(904) 269-2610
(904) 269-0873
Mailing address
833 KINGSLEY AVE, ORANGE PARK, FL 32073-4701
(904) 269-2610
(904) 269-0873
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1237096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022388300
—
FL
Enumeration date
12/09/2005
Last updated
06/06/2013
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