Alice J. Reed, Pa | |
357 11th Ave S Jacksonville Beach FL 32250-5153 | |
(904) 249-6556 | |
(904) 270-2263 |
Full Name | Alice J. Reed, Pa |
---|---|
Speciality | Internal Medicine |
Location | 357 11th Ave S, Jacksonville Beach, Florida |
Authorized Official Name and Position | Kandy Pariseau (OFFICE MANAGER) |
Authorized Official Contact | 9042496556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alice J. Reed, Pa 357 11th Ave S Jacksonville Beach FL 32250-5153 Ph: (904) 249-6556 | Alice J. Reed, Pa 357 11th Ave S Jacksonville Beach FL 32250-5153 Ph: (904) 249-6556 |
NPI Number | 1720380280 |
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Provider Enumeration Date | 12/03/2010 |
Last Update Date | 03/02/2011 |
Medicare PECOS PAC ID | 2860674470 |
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Medicare Enrollment ID | O20110303000023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720380280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Alice J Reed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356355796 PECOS PAC ID: 4385606250 Enrollment ID: I20070502000475 |
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