Provider Demographics
NPI: | 1578244455 |
---|---|
Name: | T&T HEALTH SOLUTIONS LLC |
Entity Type: | Organization |
Organization Name: | T&T HEALTH SOLUTIONS LLC |
Other - Org Name: | MEDIJAX FAMILY CARE |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PROVIDER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | TERESA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | POSADAS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | APRN |
Authorized Official - Phone: | 904-600-1018 |
Mailing Address - Street 1: | 1194 GUNKA RD |
Mailing Address - Street 2: | |
Mailing Address - City: | JACKSONVILLE |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32216-2614 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 904-600-1018 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2735 UNIVERSITY BLVD S |
Practice Address - Street 2: | |
Practice Address - City: | JACKSONVILLE |
Practice Address - State: | FL |
Practice Address - Zip Code: | 32216-2548 |
Practice Address - Country: | US |
Practice Address - Phone: | 904-830-4747 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-07-25 |
Last Update Date: | 2024-03-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care | Group - Single Specialty |