Hyperbaric Oxygen Specialist in Jacksonville - General Practice
Hyperbaric Oxygen Specialist - NPI 1194773812
Hyperbaric Oxygen Specialist is a General Practice in Jacksonville, Florida. Hyperbaric Oxygen Specialist practices all healthcare services and medical treatments related to General Practice. The NPI Number for Hyperbaric Oxygen Specialist is 1194773812. The last update date is 2020-08-22.
Hyperbaric Oxygen Specialist's current location address is 3901 University Blvd S, Jacksonville, Florida. You can contact this provider via phone number 9043911206. The mailing address for Hyperbaric Oxygen Specialist is 3901 University Blvd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hyperbaric Oxygen Specialist |
|---|---|
| Address | 3901 University Blvd S, Jacksonville, Florida |
| Phone Number | 9043911206 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Vontz K Frederick |
| Credentials | MD |
| Telephone Number | 9043991206 |
NPI Number Detail
| NPI Number | 1194773812 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3901 University Blvd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322164377 |
| Phone Number | 9043911206 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | ME10390 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the Hyperbaric Oxygen Specialist's 1194773812?
The Hyperbaric Oxygen Specialist's NPI (National Provider Identifier) Number is 1194773812. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Hyperbaric Oxygen Specialist is located?
The Hyperbaric Oxygen Specialist is situated at the following address: 3901 University Blvd S, Jacksonville, FL, 322164377.
What is the Hyperbaric Oxygen Specialist's specialty and taxonomy code?
The Hyperbaric Oxygen Specialist's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194773812 to Hyperbaric Oxygen Specialist?
The Centers for Medicare & Medicaid Services originally issued the 1194773812 to Hyperbaric Oxygen Specialist on 2006-05-05.
As of what date was the information regarding Hyperbaric Oxygen Specialist, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Hyperbaric Oxygen Specialist, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.