Provider Demographics
NPI:1801256771
Name:FRAN CUCHIARA, INC.
Entity type:Organization
Organization Name:FRAN CUCHIARA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVATE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CUCHIARA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:904-880-0603
Mailing Address - Street 1:3715-1 SAN JOSE PLACE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257
Mailing Address - Country:US
Mailing Address - Phone:904-880-0603
Mailing Address - Fax:904-880-0802
Practice Address - Street 1:3715-1 SAN JOSE PLACE
Practice Address - Street 2:SUITE 1
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257
Practice Address - Country:US
Practice Address - Phone:904-880-0603
Practice Address - Fax:904-880-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ3568OtherBLUE CROSS AND BLUE SHIELD