OrganizationActive
Ten Broeck Jacksonville LLC
NPI 1497758312 · Psychiatric Hospital · Jacksonville, FL
Provider details
- NPI number
- 1497758312
- Entity type
- Organization
- Primary specialty
- Psychiatric HospitalHospitals
- Organization subpart
- No
- Authorized official
- David Corddry, Vice President of Finance(407) 876-2200
- License
- 4011 (FL)
Specialties & taxonomies
Hospitals
Practice location
6300 Beach Blvd
Jacksonville, FL 32216-2708
Phone: (904) 724-9202
Fax: (904) 724-3797
Approximate (ZIP-level) locationGet directions
Mailing address
6300 Beach Blvd
Jacksonville, FL 32216-2708
Registry dates
- Enumerated
- 2005-05-24
- Last updated
- 2008-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.