Organization Active NPI

Healthy Schools, LLC

  • General Practice Physician
  • Green Cove Springs, FL
National Provider Identifier
1497187843
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HEALTHY SCHOOLS, LLC
Practice address
91 Branscomb Rd
Suite 3
Green Cove Springs, FL 32043-7223
Phone
(904) 834-2679
Fax
(904) 395-3249
NPI assigned
Aug 7, 2013
Last updated
Jul 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Mr. Don Anthony Boselli Jr.
Title
President
Phone
(904) 834-2679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

91 Branscomb Rd
Suite 3
Green Cove Springs, FL 32043-7223

Mailing address

3546 Saint Johns Bluff Rd S
Suite 113
Jacksonville, FL 32224-2713
Phone (904) 834-2679

National Provider Directory

National Provider Directory

Locations

818 A1A N
Ste 101
Ponte Vedra, FL 32082

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1497187843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 SAINT JOHNS BLUFF RD S",
            "address_2": "SUITE 113",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242713",
            "telephone_number": "904-834-2679",
            "fax_number": "904-395-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 BRANSCOMB RD",
            "address_2": "SUITE 3",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320437223",
            "telephone_number": "904-834-2679",
            "fax_number": "904-395-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SCHOOLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "BOSELLI",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-834-2679",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Cove Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.