TIDES EDGE RECOVERY SERVICES, LLC – Multi-Specialty Clinic/Center, NPI 1992228845

TIDES EDGE RECOVERY SERVICES, LLC is a healthcare provider. based in Jacksonville beach, Florida. specializing in Multi-Specialty Clinic/Center. The organization holds a License No. 1601 (FL). The NPI Number for TIDES EDGE RECOVERY SERVICES, LLC is 1992228845

Main info

Organization
Name
TIDES EDGE RECOVERY SERVICES, LLC
NPI
1992228845
Phone
(904) 685-9083
Address
390 16TH AVE S
Authorized Official
PATRICIA YOST CEO
Enumeration Date
24 July 2017
Last Update Date
21 July 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for TIDES EDGE RECOVERY SERVICES, LLC

  • 390, 16th Avenue South, Jacksonville Beach, Duval County, Florida, 32250, United States

    JACKSONVILLE BEACH, FL 322504961

    Phone: (904) 685-9083

    Type: Mailing

  • 1597, The Greens Way, Jacksonville Beach, Duval County, Florida, 32250, United States

    JACKSONVILLE BEACH, FL 322501401

    Phone: (904) 685-9083

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32250)

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Reviews

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Frequently asked questions

What is the standard ID for TIDES EDGE RECOVERY SERVICES, LLC in the U.S.?
In the U.S., TIDES EDGE RECOVERY SERVICES, LLC is identified by NPI 1992228845.
Should I treat TIDES EDGE RECOVERY SERVICES, LLC as an active provider?
Patients and plans typically see TIDES EDGE RECOVERY SERVICES, LLC as active in the national extract.
What services align with TIDES EDGE RECOVERY SERVICES, LLC's listing?
TIDES EDGE RECOVERY SERVICES, LLC's public classification highlights Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Can patients visit TIDES EDGE RECOVERY SERVICES, LLC in Jacksonville Beach, Florida?
For routing, start with Jacksonville Beach, Florida for TIDES EDGE RECOVERY SERVICES, LLC, then verify phone and hours locally.
Why is information missing for TIDES EDGE RECOVERY SERVICES, LLC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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