Pic Program | |
4266 Sunbeam Rd Jacksonville FL 32257-2425 | |
(904) 268-5200 | |
Not Available |
Full Name | Pic Program |
---|---|
Speciality | General Practice |
Location | 4266 Sunbeam Rd, Jacksonville, Florida |
Authorized Official Name and Position | Phillip C Ward (PRESIDENT & CEO) |
Authorized Official Contact | 9042685200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pic Program 4266 Sunbeam Rd Jacksonville FL 32257-2425 Ph: (904) 268-5200 | Pic Program 4266 Sunbeam Rd Jacksonville FL 32257-2425 Ph: (904) 268-5200 |
NPI Number | 1184291510 |
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Provider Enumeration Date | 06/04/2021 |
Last Update Date | 11/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184291510 | NPI | - | NPPES |
087407808 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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