Provider Demographics
NPI:1306893060
Name:MULTIPAYL, INC.
Entity type:Organization
Organization Name:MULTIPAYL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:904-744-6320
Mailing Address - Street 1:PO BOX 77425
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32226-7425
Mailing Address - Country:US
Mailing Address - Phone:904-744-6320
Mailing Address - Fax:904-744-6354
Practice Address - Street 1:1616 JORK RD
Practice Address - Street 2:SUITE 302
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-2491
Practice Address - Country:US
Practice Address - Phone:904-744-6320
Practice Address - Fax:904-744-6354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991582251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL696927698OtherFSL WAIVER
FL696927696Medicaid