Provider Demographics
NPI:1942806690
Name:FIRST STOP HEALTHCARE PLLC
Entity Type:Organization
Organization Name:FIRST STOP HEALTHCARE PLLC
Other - Org Name:FIRST STOP HEALTHCARE, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LASHANDIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:904-717-0031
Mailing Address - Street 1:4085 TYNDEL CREEK CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-7474
Mailing Address - Country:US
Mailing Address - Phone:904-483-1763
Mailing Address - Fax:
Practice Address - Street 1:1912 HAMILTON ST STE 205
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-2078
Practice Address - Country:US
Practice Address - Phone:904-717-0031
Practice Address - Fax:904-717-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center