Acv Community Services LL

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ACV COMMUNITY SERVICES LL

Doing business as

ACV Community Services LL

Practice address

10820 Marvin E Jones Blvd
Live Oak, FL 32060-1507

Phone

(386) 658-5341

NPI assigned

Aug 23, 2021

Last updated

Aug 23, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Acv Community Services LLC

Title

A/R Supervisor

Phone

(386) 658-5341

Specialties & licenses 1

Addresses

Other names 1

• ACV Community Services LL Doing business as

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1114693785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 MARVIN E JONES BLVD",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320601507",
            "telephone_number": "386-658-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 MARVIN E JONES BLVD",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320601507",
            "telephone_number": "386-658-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACV COMMUNITY SERVICES LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "LLC",
        "authorized_official_first_name": "ACV COMMUNITY",
        "authorized_official_middle_name": "SERVICES",
        "authorized_official_title_or_position": "A/R SUPERVISOR",
        "authorized_official_telephone_number": "386-658-5341"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rduffy@acvillage.net",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Dowling Park",
            "address_1": "10820 Marvin Jones Blvd",
            "city": "Dowling Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320648243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ACV Community Services LL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Live Oak, FL
• Providers in Live Oak, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.