LIQUID LOGIC RX (NPI# 1376095729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376095729 |
| Entity Type | Organization |
| Organization Name | LIQUID LOGIC RX |
| Practice Address |
5105 Bowden Rd Jacksonville FL 32216-5907 |
| Practice Telephone | 9043740294 |
| Mailing Telephone | 9043740294 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | MRS. ANTONIETTA GUZMAN (OFFICE MANAGER) |
| Authorized Official Telephone | 9043740260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 207L00000X | FL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 258429800 | 05 |
| Street Address |
5105 BOWDEN RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225105299 | Philip Adrian Carnevale | Anesthesiology | 5105 Bowden Rd, Jacksonville, FL 32216-5907 | 2006-11-28 |
| 1376049213 | Philip Austin Carnevale | Nurse Practitioner | 5105 Bowden Rd, Jacksonville, FL 32216 | 2018-03-31 |
| 1194892869 | Laura June Solon Baker | Anesthesiology | 5105 Bowden Rd, Jacksonville, FL 32216-5907 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666146 | Tashiana Kelly | Point of Service | 2611 University Blvd N Apt C203, Jacksonville, FL 32211-3287 | 2020-10-15 |
| 1043719396 | Coco Chenele LLC | Point of Service | 6650 Corporate Center Pkwy Apt 1317, Jacksonville, FL 32216-8722 | 2018-02-01 |
| 1265826820 | J-well Pilates Rehab Studio | Point of Service | 310 E California St Unit B, Jacksonville, OR 97530-9414 | 2015-03-22 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| 1962647156 | The Thomas Hill Group Inc | Point of Service | 7911 Melvin Rd, Jacksonville, FL 32210-1434 | 2008-12-03 |
| 1528165909 | Community Rehabilitation Center Inc | Point of Service | 623 Beechwood Strret, Jacksonville, FL 32206 | 2006-09-20 |
| 1104822923 | Keepsafe Center, Inc. | Point of Service | 5626 Soutel Dr, Jacksonville, FL 32219-3772 | 2005-06-27 |
| 1992110654 | Vibrant Life Health Center LLC | Point of Service | 12627 San Jose Blvd, Suite 501, Jacksonville, FL 32223-2662 | 2014-06-21 |
| 1538596481 | My Guardian Angels Senior Care Inc | Point of Service | 9951 Atlantic Blvd, Ste 423, Jacksonville, FL 32225-6584 | 2013-10-07 |
| 1841548898 | Peachesnabasket Adult Health Services | Point of Service | 2040 Soutel Dr, Jacksonville, FL 32208-2280 | 2012-08-23 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on LIQUID LOGIC RX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.