Organization
CAPSTONE HEALTH JACKSONVILLE, LLC
Active
Other names
Vital Care of Palm Coast
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD J. MANNING (OWNER)
(386) 477-0010
Entity
Organization
Contact information
Practice address
80 PINNACLES DR STE 900, PALM COAST, FL 32164-2915
(386) 477-0010
(386) 477-0011
Mailing address
80 PINNACLES DR STE 900, PALM COAST, FL 32164-2915
(386) 477-0010
(386) 477-0011
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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