Organization · Type 2 NPI
Tides Edge Recovery Services, LLC
Multi-Specialty Clinic/Center · Jacksonville Beach, FL
NPI number
1992228845
Active
Practice location
1597 The Greens Way
Jacksonville Beach, FL 32250-1401
Mailing address
390 16th Ave S
Jacksonville Beach, FL 32250-4961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | 1601 (FL) |
Multi-Specialty Clinic/Center: Definition to come...
2 other providers at this address
Other multi-specialty clinic/center providers in Jacksonville Beach
About NPI 1992228845
Tides Edge Recovery Services, LLC's National Provider Identifier is 1992228845, issued on Jul 24, 2017. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Jul 21, 2022.