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4141 Southpoint Dr E Ste A Jacksonville FL 32216-8061 | |
| (904) 853-5900 | |
| (904) 853-5885 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4141 Southpoint Dr E Ste A, Jacksonville, Florida |
| Authorized Official Name and Position | Alina Maria Galliano-pardo (MD/PRESIDENT) |
| Authorized Official Contact | 9048535900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 51507 Jacksonville Beach FL 32240-1507 Ph: (904) 853-5900 | 4141 Southpoint Dr E Ste A Jacksonville FL 32216-8061 Ph: (904) 853-5900 |
| NPI Number | 1316408131 |
|---|---|
| Provider Enumeration Date | 03/26/2019 |
| Last Update Date | 07/08/2022 |
| Certification Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316408131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Secondary |
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