Organization Active NPI

Integrative Health & Injury Care, Inc.

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1881093169
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP 770742 Issued in FL
Legal business name
INTEGRATIVE HEALTH & INJURY CARE, INC.
Practice address
835 Cesery Blvd
Room 6
Jacksonville, FL 32211-5605
Phone
(904) 745-0208
NPI assigned
Aug 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Ms. Deborah Mae Fralicker, ARNP
Title
President
Phone
(904) 534-5663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X ARNP 770742 FL Primary

Addresses

Primary practice location

835 Cesery Blvd
Room 6
Jacksonville, FL 32211-5605

Mailing address

835 Cesery Blvd
Room 6
Jacksonville, FL 32211-5605
Phone (904) 534-5663

National Provider Directory

National Provider Directory

Locations

835 Cesery Blvd
Rm 6
Jacksonville, FL 32211
Phone (904) 745-0208

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1881093169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 CESERY BLVD",
            "address_2": "ROOM 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115605",
            "telephone_number": "904-534-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 CESERY BLVD",
            "address_2": "ROOM 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115605",
            "telephone_number": "904-745-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH & INJURY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "FRALICKER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-534-5663",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP 770742",
            "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 Aug 22, 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.