Provider Demographics
NPI:1215571641
Name:FLEISCHER, BELINDA (MHSC, RN, CHC)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:FLEISCHER
Suffix:
Gender:F
Credentials:MHSC, RN, CHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GUIDEWELL
Mailing Address - Street 2:4855 TOWN CENTER PARKWAY
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-8437
Mailing Address - Country:US
Mailing Address - Phone:904-383-5880
Mailing Address - Fax:904-928-4290
Practice Address - Street 1:GUIDEWELL
Practice Address - Street 2:4855 TOWN CENTER PARKWAY
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-8437
Practice Address - Country:US
Practice Address - Phone:904-383-5880
Practice Address - Fax:904-928-4290
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9440260163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse