Organization
PACIFICA CARE PLLC
Active
Organization
PACIFICA CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY A ARCANZ (ADMINISTRATOR)
(904) 221-2232
Entity
Organization
Contact information
Practice address
13121 ATLANTIC BLVD, SUITE 100, JACKSONVILLE, FL 32225
(904) 221-2232
(904) 221-2205
Mailing address
13121 ATLANTIC BLVD, SUITE 100, JACKSONVILLE, FL 32225
(904) 221-2232
(904) 221-2205
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
9102783
FL
261QM0850X
Adult Mental Health Clinic/Center
Primary
HCC8789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292650400
—
FL
Enumeration date
12/07/2010
Last updated
01/10/2012
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