Veenakumar

PACE Provider Organization · Jacksonville, FL

Organization Active NPI

NPI number 1275083727

Practice location

12152 Basalt Dr S
Jacksonville, FL 32246-0680
Phone
(904) 619-4204

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NPI record

NPI
1275083727
Entity type
Organization (Type 2)
Enumeration date
October 8, 2016
Last updated
October 8, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
PACE Provider Organization Primary 251T00000X W268696 FL

Authorized official

Name
Mrs. Veena Kumar
Title
Manager
Phone
(904) 619-4204

About Veenakumar

Veenakumar is a healthcare organization registered in the NPI registry with the primary taxonomy PACE Provider Organization (code 251T00000X). The practice location is 12152 Basalt Dr S, Jacksonville, FL 32246-0680. The NPI number 1275083727 was assigned on October 8, 2016 and the record was last updated on October 8, 2016.

Veenakumar lists a license in the registry: #W268696 (FL) for PACE Provider Organization. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Veena Kumar, Manager.

Frequently asked questions

What is the NPI number of Veenakumar?

The NPI number is 1275083727.

What is the phone number of Veenakumar?

The phone number listed for the practice location is (904) 619-4204.

Where is Veenakumar located?

12152 Basalt Dr S, Jacksonville, FL 32246-0680.

What is the taxonomy code for Veenakumar?

The primary taxonomy code is 251T00000X – PACE Provider Organization.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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