Organization
BEYOND VENACARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA JAIMES (CO-OWNER/DIRECTOR)
(386) 559-4086
Entity
Organization
Contact information
Practice address
405 S SUMMIT ST STE A, CRESCENT CITY, FL 32112-3048
(386) 559-4086
Mailing address
PO BOX 366, CRESCENT CITY, FL 32112-0366
(386) 559-4086
(386) 698-4675
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
03/18/2025
Last updated
06/26/2025
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