Active NPI
Glycare LLC
- Clinic/Center
- Jacksonville, FL
National Provider Identifier
1336816602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- GLYCARE LLC
- Practice address
- 7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921 - Phone
- (904) 372-3943
- Fax
- (904) 212-1618
- NPI assigned
- Aug 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Gamble
- Title
- Billing Manager
- Phone
- (904) 372-3943
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921
Mailing address
7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921
Phone (904) 372-3943
National Provider Directory
National Provider DirectoryLocations
4190 Belfort Rd
Ste 352
Jacksonville, FL 32216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676505600000",
"number": "1336816602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7751 BELFORT PKWY STE 120",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566921",
"telephone_number": "904-372-3943",
"fax_number": "904-212-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7751 BELFORT PKWY STE 120",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566921",
"telephone_number": "904-372-3943",
"fax_number": "904-212-1618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLYCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-25",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A",
"authorized_official_last_name": "GAMBLE",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "904-372-3943"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.