is a General Practice in Jacksonville, Florida. practices all healthcare services and medical treatments related to General Practice. The NPI Number for is 1285891978. The last update date is .
's current location address is 1028 Dunn Ave, Jacksonville, Florida. You can contact this provider via phone number 9047667606 and fax number 9047667679. The mailing address for is 1028 Dunn Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 1028 Dunn Ave, Jacksonville, Florida |
Phone Number | 9047667606 |
Fax Number | 9047667679 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1285891978 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1028 Dunn Ave |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322184830 |
Phone Number | 9047667606 |
Fax Number | 9047667679 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | 17133 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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3612100 | FL | -- |
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