Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ten Broeck Jacksonville LLC

Organization Psychiatric Hospital · NPI 1497758312

Ten Broeck Jacksonville LLC is a Psychiatric Hospital in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6300 Beach Blvd
Jacksonville, FL 32216-2708
Phone: (904) 724-9202
Fax: (904) 724-3797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X · Licence 4011 (FL)

Record details

NPI number1497758312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Corddry — Vice President Of Finance · (407) 876-2200
NPI enumeratedMay 24, 2005
Last updated in NPPESMay 8, 2008
Mailing address6300 Beach Blvd, Jacksonville, FL 32216-2708

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