Svila Skin Solutions

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

2898342 Issued in FL

Legal business name

SVILA SKIN SOLUTIONS

Practice address

1936 San Marco Blvd
Jacksonville, FL 32207-3286

Phone

(904) 425-4410

Fax

(904) 425-4413

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Marcia Ann Haines, NP

Title

Arnp/Owner

Phone

(904) 425-4410

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1255570974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 SAN MARCO BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073286",
            "telephone_number": "904-425-4410",
            "fax_number": "904-425-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 SAN MARCO BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073286",
            "telephone_number": "904-425-4410",
            "fax_number": "904-425-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVILA SKIN SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ARNP/OWNER",
        "authorized_official_telephone_number": "904-425-4410",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "2898342",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "2898342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.