Organization
JACKSONVILLE BEACH PSYCHIATRIC SERVICE
Active
Organization
JACKSONVILLE BEACH PSYCHIATRIC SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE MARCOTTE (OWNER)
(954) 746-8232
Entity
Organization
Contact information
Practice address
390 16TH AVE S, JACKSONVILLE, FL 32250-4961
(954) 746-8232
Mailing address
390 16TH AVE S, JACKSONVILLE, FL 32250-4961
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
01/03/2017
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