1073882783 JACKIES RETIREMENT LLC
Exclusive Provider Organization
Active
Basic Information
- Organization Name
- JACKIES RETIREMENT LLC
- Enumeration Date
- December 26, 2011
- Last Update
- December 26, 2011
- Authorized Official
- MS. JACQUELINE B WRIGHT
ADMINISTRATOR/OWNER
Phone: (321) 420-3916
Practice Location
- Address
- 1675 CANON AVE NW
PALM BAY, FL 329078528 - Phone
- (321) 420-3916
Mailing Address
- Address
- 1675 CANON AVE NW
PALM BAY, FL 329078528 - Phone
- (321) 420-3916
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Exclusive Provider Organization | AL12053 | FL | Primary |
Frequently Asked Questions
What is JACKIES RETIREMENT LLC's NPI number?
JACKIES RETIREMENT LLC's NPI number is 1073882783.
Which doctor has NPI number 1073882783?
The doctor with NPI number 1073882783 is JACKIES RETIREMENT LLC.
What is JACKIES RETIREMENT LLC's practice address?
JACKIES RETIREMENT LLC's practice address is 1675 CANON AVE NW, PALM BAY, FL, 329078528.
Which doctor practices at 1675 CANON AVE NW, PALM BAY, FL, 329078528?
JACKIES RETIREMENT LLC practices at 1675 CANON AVE NW, PALM BAY, FL, 329078528.
What is JACKIES RETIREMENT LLC's phone number?
JACKIES RETIREMENT LLC's phone number is (321) 420-3916.
Who is (321) 420-3916?
(321) 420-3916 is the phone number for JACKIES RETIREMENT LLC.
What is JACKIES RETIREMENT LLC's specialty?
JACKIES RETIREMENT LLC's specialty is Exclusive Provider Organization.
What type of doctor is JACKIES RETIREMENT LLC?
JACKIES RETIREMENT LLC is a Exclusive Provider Organization.
Is JACKIES RETIREMENT LLC a Exclusive Provider Organization?
Yes, JACKIES RETIREMENT LLC is a Exclusive Provider Organization.
Is JACKIES RETIREMENT LLC still practicing?
Yes, JACKIES RETIREMENT LLC is currently practicing.
Is JACKIES RETIREMENT LLC accepting new patients?
JACKIES RETIREMENT LLC may be accepting new patients. Please call their office at (321) 420-3916 to inquire about availability.
Is NPI 1073882783 still active?
Yes, NPI 1073882783 is currently active.
Where does JACKIES RETIREMENT LLC practice?
JACKIES RETIREMENT LLC practices in PALM BAY, FL.