First Coast Medical Center Inc | |
4211 N Pearl St, Jacksonville, FL 32206-6411 | |
(904) 358-8692 | |
(904) 354-6908 |
Full Name | First Coast Medical Center Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 4211 N Pearl St, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134157217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Grady Carter |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1245211267 PECOS PAC ID: 7517982549 Enrollment ID: I20051012000428 |
Provider Name | Michael Brent Hunter |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1104860139 PECOS PAC ID: 2668482969 Enrollment ID: I20131211001028 |
Provider Name | Jessica L Bellinger |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1407371925 PECOS PAC ID: 2961803200 Enrollment ID: I20210624001539 |
Mailing Address | Practice Location Address |
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First Coast Medical Center Inc Po Box 17809, Jacksonville, FL 32245-7809 Ph: (904) 723-0015 | First Coast Medical Center Inc 4211 N Pearl St, Jacksonville, FL 32206-6411 Ph: (904) 358-8692 |
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