| Slrc Jacksonville Llc | |
|
14286 Beach Blvd Ste 118 Jacksonville FL 32250-1561 | |
| (727) 418-2567 | |
| Not Available |
| Full Name | Slrc Jacksonville Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 14286 Beach Blvd Ste 118, Jacksonville, Florida |
| Authorized Official Name and Position | Stephen Lomonico (PRESIDENT) |
| Authorized Official Contact | 7274182567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Slrc Jacksonville Llc 5425 Beaumont Center Blvd Ste 918 Tampa FL 33634-5214 Ph: () - | Slrc Jacksonville Llc 14286 Beach Blvd Ste 118 Jacksonville FL 32250-1561 Ph: (727) 418-2567 |
| NPI Number | 1225674849 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 11/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225674849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
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