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4131 University Blvd S Ste 3 Jacksonville FL 32216-4346 | |
| (904) 410-4027 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4131 University Blvd S Ste 3, Jacksonville, Florida |
| Authorized Official Name and Position | Nikhil Nihalani (OWNER) |
| Authorized Official Contact | 9044104027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4131 University Blvd S Ste 3 Jacksonville FL 32216-4346 Ph: () - | 4131 University Blvd S Ste 3 Jacksonville FL 32216-4346 Ph: (904) 410-4027 |
| NPI Number | 1154710788 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154710788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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