| North Florida Family Psychiatry | |
|
1555 Kingsley Ave Bldg 300 Suite 305 Orange Park FL 32073-4560 | |
| (352) 284-4216 | |
| (866) 681-5094 |
| Full Name | North Florida Family Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1555 Kingsley Ave Bldg 300, Orange Park, Florida |
| Authorized Official Name and Position | Jared B Gaines (OWNER) |
| Authorized Official Contact | 3522844216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Family Psychiatry 1555 Kingsley Ave Bldg 300 Suite 305 Orange Park FL 32073-4560 Ph: (352) 284-4216 | North Florida Family Psychiatry 1555 Kingsley Ave Bldg 300 Suite 305 Orange Park FL 32073-4560 Ph: (352) 284-4216 |
| NPI Number | 1942444757 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 11/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942444757 | NPI | - | NPPES |
| P00760459 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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