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1325 San Marco Blvd Suite 500 Jacksonville FL 32207-8568 | |
| (904) 376-3800 | |
| (904) 733-9598 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1325 San Marco Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Ellen Williams (DIRECTOR) |
| Authorized Official Contact | 9043763800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4160 University Blvd S Jacksonville FL 32216-4317 Ph: (904) 376-3800 | 1325 San Marco Blvd Suite 500 Jacksonville FL 32207-8568 Ph: (904) 376-3800 |
| NPI Number | 1255532024 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255532024 | NPI | - | NPPES |
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