OrganizationActive
Aids Healthcare Foundation
NPI 1679557201 · Health Service Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1679557201
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Donna Stidham, Chief, Managed Care
- License
- G011429001A (FL)
Practice location
2 Shircliff Way
Suite 900
Jacksonville, FL 32204-3812
Phone: (904) 381-9651
Fax: (904) 389-9319
Mailing address
6255 W Sunset Blvd Fl 21
Los Angeles, CA 90028-7422
Registry dates
- Enumerated
- 2005-12-06
- Last updated
- 2019-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.