Tides Edge Recovery Services, LLC
Tides Edge Recovery Services, LLC is a Multi-Specialty Clinic/Center in Jacksonville Beach, Florida. Licensed in Florida. Registered with an NPI since 2017.
- Licensed in
- FL
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1597 The Greens WayJacksonville Beach, FL 32250-1401
Phone: (904) 685-9083
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X · Licence 1601 (FL) |
|---|
Record details
| NPI number | 1992228845 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patricia Yost — Ceo · (904) 236-5999 |
| NPI enumerated | July 24, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | December 19, 2019 |
| Mailing address | 390 16th Ave S, Jacksonville Beach, FL 32250-4961 |
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