Provider Demographics
NPI:1467248591
Name:D&S CONFIDENTIAL COLLECTIONS
Entity type:Organization
Organization Name:D&S CONFIDENTIAL COLLECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAWNATA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-438-0605
Mailing Address - Street 1:1248 EDGEWOOD AVE W STE 3
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-2874
Mailing Address - Country:US
Mailing Address - Phone:904-438-5192
Mailing Address - Fax:904-586-2223
Practice Address - Street 1:1248 EDGEWOOD AVE W STE 3
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-2874
Practice Address - Country:US
Practice Address - Phone:904-438-5192
Practice Address - Fax:904-586-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty