1881948842 NPI number — NEW PERSPECTIVE SERVICES, INC

Table of content: MR. RONALD YAPCENGCO FLORES RN (NPI 1447872809)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881948842 NPI number — NEW PERSPECTIVE SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW PERSPECTIVE SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881948842
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/04/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5000-7 NORWOOD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JACKSONVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32208-5001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-379-1392
Provider Business Mailing Address Fax Number:
904-647-1936

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5000-7 NORWOOD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32208-5001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-379-1392
Provider Business Practice Location Address Fax Number:
904-647-1936
Provider Enumeration Date:
10/30/2012

Additional Information

Authorized Official

Authorized Official Last Name:
COTTON
Authorized Official First Name:
KEISHA
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
904-379-1392

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 004722400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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