Provider Demographics
NPI:1699414193
Name:TAILORED CARE SOLUTIONS INC
Entity Type:Organization
Organization Name:TAILORED CARE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BYE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:904-789-0643
Mailing Address - Street 1:185 DURBIN STATION CT
Mailing Address - Street 2:SUITE C
Mailing Address - City:ST JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259
Mailing Address - Country:US
Mailing Address - Phone:904-789-0643
Mailing Address - Fax:
Practice Address - Street 1:185 DURBIN STATION CT
Practice Address - Street 2:SUITE C
Practice Address - City:ST JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259
Practice Address - Country:US
Practice Address - Phone:904-789-0643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty