Provider Demographics
NPI:1497486732
Name:ACARE MEDICAL LLC
Entity Type:Organization
Organization Name:ACARE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMARIS
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-753-7566
Mailing Address - Street 1:9568 STRATHAM CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-7172
Mailing Address - Country:US
Mailing Address - Phone:904-753-7566
Mailing Address - Fax:
Practice Address - Street 1:12220 ATLANTIC BLVD STE 130
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-5826
Practice Address - Country:US
Practice Address - Phone:904-753-7566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service