Family Support Services of North Florida

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FAMILY SUPPORT SERVICES OF NORTH FLORIDA

Practice address

4057 Carmichael Ave
Building 3000, Suite 101
Jacksonville, FL 32207-2336

Phone

(904) 421-5800

Fax

(904) 421-5801

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lee E Wilson, CPA

Title

Chief Financial Officer

Phone

(904) 421-5816

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174552046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 CARMICHAEL AVE",
            "address_2": "BUILDING 3000, SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072336",
            "telephone_number": "904-421-5800",
            "fax_number": "904-421-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 CARMICHAEL AVE",
            "address_2": "BUILDING 3000, SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072336",
            "telephone_number": "904-421-5800",
            "fax_number": "904-421-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT SERVICES OF NORTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "904-421-5816",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Jacksonville, FL
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• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.