| Duval County Health Department | |
|
1736 University Blvd S Jacksonville FL 32216-8929 | |
| (904) 253-1100 | |
| (904) 727-6548 |
| Full Name | Duval County Health Department |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1736 University Blvd S, Jacksonville, Florida |
| Authorized Official Name and Position | Kelli T Wells (DIRECTOR) |
| Authorized Official Contact | 9042532062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duval County Health Department 900 University Blvd N Mc-75 Jacksonville FL 32211-9230 Ph: (904) 253-2062 | Duval County Health Department 1736 University Blvd S Jacksonville FL 32216-8929 Ph: (904) 253-1100 |
| NPI Number | 1497010425 |
|---|---|
| Provider Enumeration Date | 07/05/2012 |
| Last Update Date | 08/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497010425 | NPI | - | NPPES |
| 6905561-02 | Medicaid | FL | |
| 6905561-03 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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