Inception Healthcare Solutions LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

PS43223 Issued in FL

Legal business name

INCEPTION HEALTHCARE SOLUTIONS LLC

Practice address

14701 Bartram Park Blvd Unit 1118
Jacksonville, FL 32258-5296

Phone

(561) 232-4519

NPI assigned

Sep 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Julio Luis Camacho, PHARM.D.

Title

President and Ceo

Phone

(561) 232-4519

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1730580366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 BARTRAM PARK BLVD UNIT 1118",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585296",
            "telephone_number": "561-232-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 BARTRAM PARK BLVD UNIT 1118",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585296",
            "telephone_number": "561-232-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCEPTION HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "561-232-4519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "PS43223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285929604",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.