ACTIVE CORPORATE CARE (NPI# 1700066016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700066016 |
| Entity Type | Organization |
| Organization Name | ACTIVE CORPORATE CARE |
| Practice Address |
6817 Southpoint Pkwy Ste 303 Jacksonville FL 32216-6282 |
| Practice Telephone | 9042960202 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | DR. JEFFREY DAVID LIPP (PRESIDENT) |
| Authorized Official Telephone | 9042960202 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
CH9014 | FL | Ambulatory Health Care Facilities |
| Street Address |
6817 SOUTHPOINT PKWY STE 303 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-6282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376515791 | Philippos D Kartsonis | Family Medicine | 6817 Southpoint Pkwy, 1404, Jacksonville, FL 32216-6282 | 2006-02-02 |
| 1003427063 | Abc Prosthetics & Orthotics of North Florida | Prosthetic/Orthotic Supplier | 6817 Southpoint Pkwy, Jacksonville, FL 32216-6282 | 2020-08-13 |
| 1750940912 | Brittany Mcnutt | Nurse Practitioner | 6817 Southpoint Pkwy, Jacksonville, FL 32216-6282 | 2019-06-11 |
| 1780148999 | Gaelle Mercer | Nurse Practitioner | 6817 Southpoint Pkwy, Jacksonville, FL 32216-6282 | 2019-01-22 |
| 1700323011 | Mechele Mckenzie | Behavioral Analyst | 6817 Southpoint Pkwy, Jacksonville, FL 32216-6282 | 2017-01-24 |
| 1396294146 | Post Acute Care Specialists LLC | Internal Medicine | 6817 Southpoint Pkwy, Suite 502, Jacksonville, FL 32216-6282 | 2016-09-21 |
| 1801249768 | Alyssa Morgan Sedghi-khoi | Psychologist | 6817 Southpoint Pkwy, Ste 1501, Jacksonville, FL 32216-6282 | 2016-07-15 |
| 1457710733 | Kartsonis Family Medicine, Pllc | Family Medicine | 6817 Southpoint Pkwy, Suite 1404, Jacksonville, FL 32216-6282 | 2016-02-16 |
| 1245605302 | Julia Evelyn Garman | Behavioral Analyst | 6817 Southpoint Pkwy, Suite 1501, Jacksonville, FL 32216-6282 | 2015-12-01 |
| 1902298615 | Sai Narotam | Behavioral Analyst | 6817 Southpoint Pkwy, Suite 1501, Jacksonville, FL 32216-6282 | 2015-03-04 |
| Find all providers in the same location | ||||
| 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 | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336769801 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 484 Riverside Ave, Jacksonville, FL 32202-4912 | 2020-04-24 |
| 1669039400 | Genesis Health Development, Inc. | Clinic/Center | 463721 Sr 200, Suite 7, Jacksonville, FL 32097 | 2019-05-28 |
| 1083179477 | Virtual Therapy Solutions LLC | Clinic/Center | 5048 Paradise Pond Ln, Jacksonville, FL 32207-7623 | 2019-02-10 |
| 1396283941 | Cora Health Services Inc | Clinic/Center | 15255 Max Leggett Pkwy Ste 5300, Jacksonville, FL 32218-7274 | 2017-02-03 |
| 1225381221 | Heartland Rehabilitation Services of Florida, LLC | Clinic/Center | 100 N Laura St, Floor 2, Jacksonville, FL 32202-3635 | 2012-10-16 |
| 1063709152 | Cora Health Services Inc. | Clinic/Center | 9527 Regency Square Blvd, Unit 105, Jacksonville, FL 32225-8806 | 2011-07-08 |
| 1063681831 | Genesis Health Development, Inc. | Clinic/Center | 2700 University Blvd W, Jacksonville, FL 32217-2147 | 2008-02-26 |
| 1164596649 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 1045 Riverside Ave, Suite 190, Jacksonville, FL 32204-4127 | 2006-11-17 |
| 1912078445 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 12525 Philips Hwy Ste 111, Jacksonville, FL 32256-3740 | 2006-11-13 |
| 1407943160 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 4820 Deer Lake Drive West, Suite D-9, Jacksonville, FL 32246-4502 | 2006-10-06 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on ACTIVE CORPORATE CARE.
| 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.