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6910 Atlantic Blvd, Jacksonville, FL 32211-8704 | |
(904) 805-0099 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 6910 Atlantic Blvd, Jacksonville, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1942245485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH 7302 (Florida) | Primary |
207Q00000X | Family Medicine | ME 76515 (Florida) | Primary |
Mailing Address | Practice Location Address |
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6910 Atlantic Blvd, Jacksonville, FL 32211-8704 Ph: () - | 6910 Atlantic Blvd, Jacksonville, FL 32211-8704 Ph: (904) 805-0099 |