Cogent Healthcare Of Jacksonville, Llc | |
1701 Ne 26th St Wilton Manors FL 33305-1412 | |
(954) 566-8353 | |
Not Available |
Full Name | Cogent Healthcare Of Jacksonville, Llc |
---|---|
Speciality | Internal Medicine |
Location | 1701 Ne 26th St, Wilton Manors, Florida |
Authorized Official Name and Position | Melissa Harlan (DIRECTOR) |
Authorized Official Contact | 6155776340 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cogent Healthcare Of Jacksonville, Llc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 577-6340 | Cogent Healthcare Of Jacksonville, Llc 1701 Ne 26th St Wilton Manors FL 33305-1412 Ph: (954) 566-8353 |
NPI Number | 1871176032 |
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Provider Enumeration Date | 05/04/2021 |
Last Update Date | 05/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871176032 | NPI | - | NPPES |
001651534 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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