Mielke Group, Inc.

LBN: Mielke Group, Inc.
Mielke Group, Inc. is an health care organization with primary practice located at 3 Shircliff Way Suite #333, Jacksonville FL 32204-4757. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as the primary health care specialty. Mielke Group, Inc. can be contacted via phone (904) 607-2079, or through Mielke, Jeannine B. via phone (904) 607-2079.

Contact Information

Primary practice address
3 Shircliff Way Suite #333 Jacksonville FL 32204-4757
Phone: (904) 607-2079
Fax: (904) 384-0094
Website:
Map and Directions
Authorized official contact:
Name: Mielke, Jeannine B. PH.D.
Phone: (904) 607-2079

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY6839 Florida

Profile Details

NPI number 1013161223
LBN Legal business name Mielke Group, Inc.
DBA Doing business as
Authorized official Mielke, Jeannine B. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2008
Last updated Aug 17th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013161223 NPPES
Florida Other 74187 BLUE CROSS AND BLUE SHIELD OF FLORIDA

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