Veenakumar
Veenakumar is a PACE Provider Organization in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
Practice location Address checks out
12152 Basalt Dr SJacksonville, FL 32246-0680
Phone: (904) 619-4204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X · Licence W268696 (FL) |
|---|
Record details
| NPI number | 1275083727 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Veena Kumar — Manager · (904) 619-4204 |
| NPI enumerated | October 8, 2016 |
| Last updated in NPPES | October 8, 2016 |
| Mailing address | 12152 Basalt Dr S, Jacksonville, FL 32246-0680 |
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