Prisat Pa

Specialty details in registry · Jacksonville, FL

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At a glance

3685 Crown Point Court, Jacksonville, FL 32257-5967

NPPES record updated Sep 11, 2025. Public records can lag behind changes at a practice.

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Practice location

3685 Crown Point Court Suite 3
Jacksonville, FL 32257-5967

Professional details: NPI, taxonomy & registry record

NPI1275678799

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 163WP0808X
Enumeration date: Feb 21, 2007
Record updated: Sep 11, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Mental Health Counselor

101YM0800X

License reported: MH9023 FL

Psychologist

103T00000X

License reported: RN9254064 FL

Specialty details in registry

163WP0808X

License reported: ARNP2101032 FL

Specialty details in registry

163WP0808X · Primary

License reported: RN2580702 FL

Specialty details in registry

174400000X

License reported: ME83139 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3685 Crown Point Court
Suite 3
Jacksonville, FL 32257-5967

Phone: (904) 880-8840
Fax: (904) 880-1994

Mailing address

PO BOX 24330

JACKSONVILLE, FL 322414330

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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