OrganizationActive
Craft Behavioral Health Clinic
NPI 1184308108 · Technician · Jacksonville, FL
Provider details
- NPI number
- 1184308108
- Entity type
- Organization
- Primary specialty
- TechnicianNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Mohammed Farooque, Owner/Doctor(904) 379-5928
Specialties & taxonomies
Nursing Service Related Providers
Practice location
10175 Fortune Pkwy Unit 1106
Jacksonville, FL 32256-6757
Phone: (904) 337-0768
Fax: (904) 379-5967
Approximate (ZIP-level) locationGet directions
Mailing address
10175 Fortune Pkwy Unit 1106
Jacksonville, FL 32256-6757
Other names (DBA / former)
- Doing business as
- Craft Laser Clinic
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2023-06-12
- Certified
- 2023-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.