SAN JOSE ASPEN PLLC


Address: 10502 San Jose Blvd Ste B, Jacksonville, FL 32257-6209
Phone: 9046327003

SAN JOSE ASPEN PLLC (NPI# 1659923118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659923118
Entity Type Organization
Organization Name SAN JOSE ASPEN PLLC
Practice Address 10502 San Jose Blvd Ste B
Jacksonville
FL 32257-6209
Mailing Address Po Box 3189
Syracuse
NY 13220-3189
Practice Telephone 9046327003
Enumeration Date 2019-07-15
Last Update Date 2019-07-18
Authorized Official Name JONG YUN PARK (OWNER)
Authorized Official Telephone 9046327003
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Office Location

Street Address 10502 SAN JOSE BLVD STE B
City JACKSONVILLE
State FL
Zip Code 32257-6209

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740835842 Majdoline Kasera Pharmacist 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 2019-08-06
1386203859 Jetaime Y Lewis Physical Therapist 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 2019-06-10
1437622107 Michelle Espanol Garcia Nurse Practitioner 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 2019-01-05
1982172995 Pacifica Augustine Road LLC Alzheimer Center (Dementia Center) 10660 Old Augustine Road, Jacksonville, FL 32257 2018-11-07
1659860492 Andrea Leigh Miller Social Worker 10416 Spotted Fawn Lane, Jacksonville, FL 32257 2018-05-08
1376049965 Stephanie Lynne Jordon Nurse Practitioner 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 2018-04-02
1205335619 Annetta Aileen Brown Respite Care 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 2018-02-12
1841714888 Freda Stevens Counselor 9521 Shellie Road Unit 13, Jacksonville, FL 32257 2017-08-01
1659821353 Jennifer Lavoro Acupuncturist 11259 Thomaston Pl, Jacksonville, FL 32257 2016-10-06
1225488232 Avenues Dental LLC Dentist 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 2016-06-21
Find all providers in zip 32257

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962018424 Sydney Fowler Dentist 12276 San Jose Blvd Ste 314, Jacksonville, FL 32223-8632 2020-09-21
1871106260 Comfortable Care Dental Health Professionals, P.a. Dentist 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 2020-08-26
1831710771 Mark William Russell Dentist 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 2020-05-01
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1326603176 Evens Family Dental Dentist 13107 Atlantic Blvd, Jacksonville, FL 32225-7127 2019-05-07
1487123006 Susan Prater Kudlats, D.m.d, P.a. Dentist 12620 Beach Blvd Ste 18, Jacksonville, FL 32246-7130 2018-11-14
1043792534 Atlantic Dentistry Pa Dentist 13474 Atlantic Blvd Ste 109, Jacksonville, FL 32225-0100 2018-08-31
1447738620 Argyle Dental Pllc Dentist 6001 Argyle Forest Blvd Ste 4, Jacksonville, FL 32244-6127 2018-07-31
1427534445 Sandeep Chunduru Dentist 571 Yopp Rd Ste 308, Jacksonville, NC 28540-3683 2018-07-12
1669968905 Micheline Baz Elbahri Dentist 8131 Baymeadows Cir W Ste 102, Jacksonville, FL 32256 2018-07-10
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32257

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Dataset Information

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.

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