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807 Childrens Way Jacksonville FL 32207-8426 | |
| (904) 697-3600 | |
| (904) 697-3927 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 807 Childrens Way, Jacksonville, Florida |
| Authorized Official Name and Position | Rodney A Mckendree (VP, FINANCE) |
| Authorized Official Contact | 9046975628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10140 Centurion Parkway N C/o Managed Care Jacksonville FL 32256-0532 Ph: () - | 807 Childrens Way Jacksonville FL 32207-8426 Ph: (904) 697-3600 |
| NPI Number | 1265585806 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265585806 | NPI | - | NPPES |
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