PACIFICA CARE PLLC
Ambulatory Health at Atlantic Blvd, Jacksonville, FL

License number
Florida HCC8789
Category
Ambulatory Health
Type
Adult Mental Health
License number
Florida 9102783
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: PEGGY A ARCANZ
Title: ADMINISTRATOR
Phone: (904) 221-2232
Address
Address
13121 Atlantic Blvd SUITE 100, Jacksonville, FL 32225
National Provider ID: 1669775037
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PACIFICA CARE PLLC at bizstanding.com

PACIFICA CARE PLLC

Jacksonville, FL

Status:
Inactive
Industry:
Specialty Outpatient Clinic
Inactive reason:
LC AMENDMENT
Registration:
Sep 28, 2010
Inactive since:
Sep 30, 2011
Addresses:
13121 Atlantic Blvd SUITE 100, Jacksonville, FL 32225 (Physical)
13111 Atlantic Blvd, Jacksonville, FL 32225
12628 Eaglesham Dr, Jacksonville, FL 32225
State ID:
L10000100991
Business type:
Florida Limited Liability Company
Managing Members:
Donna Bellinger Treesh (Managing Member), 13121 Atlantic Blvd SUITE 100, Jacksonville, FL 32225 (Physical),Gabriel Treesh (Managing Member), 13121 Atlantic Blvd SUITE 100, Jacksonville, FL 32225 (Physical),David Moss (Managing Member), 13121 Atlantic Blvd SUITE 100, Jacksonville, FL 32225 (Physical),...
Agent:
Bellinger Treesh,13121 Atlantic Blvd, Jacksonville, FL 32225 (Physical)
EIN:
27-3561637
Categories:
Neurology Physicians & Surgeons, Physicians & Surgeons, Psychiatry Physicians

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