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1992228845
TIDES EDGE RECOVERY SERVICES, LLC
JACKSONVILLE BEACH, FL
NPI
1992228845
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Entity Type
Organization
Authorized Contact
PATRICIA YOST
CEO
904-236-5999
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
(Licence: FL 1601)
Enumeration Date
2017-07-24
Last Update Date
2022-07-21
Business Address
TIDES EDGE RECOVERY SERVICES, LLC
1597 THE GREENS WAY
JACKSONVILLE BEACH, FL 32250-1401
Phone number: 904-685-9083
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Mailing Address
TIDES EDGE RECOVERY SERVICES, LLC
390 16TH AVE S
JACKSONVILLE BEACH, FL 32250-4961
Phone number: 904-685-9083
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