Provider Demographics
NPI:1689684680
Name:PLANNED PARENTHOOD OF NORTHEAST FLORIDA, INC
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF NORTHEAST FLORIDA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:WILLIAMS SCHEINER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:904-399-2800
Mailing Address - Street 1:3850 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-4757
Mailing Address - Country:US
Mailing Address - Phone:904-399-2800
Mailing Address - Fax:904-399-2525
Practice Address - Street 1:3850 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-4757
Practice Address - Country:US
Practice Address - Phone:904-399-2800
Practice Address - Fax:904-399-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3144892363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty