Finca De San Juan, Llc | |
1370 13th Ave S Ste 218 Jax Bch FL 32250-3206 | |
(904) 853-6154 | |
(877) 543-5924 |
Full Name | Finca De San Juan, Llc |
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Speciality | Internal Medicine |
Location | 1370 13th Ave S Ste 218, Jax Bch, Florida |
Authorized Official Name and Position | Ronda Crews (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 9048536154 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Finca De San Juan, Llc 1370 13th Ave S Ste 218 Jax Bch FL 32250-3206 Ph: (904) 853-6154 | Finca De San Juan, Llc 1370 13th Ave S Ste 218 Jax Bch FL 32250-3206 Ph: (904) 853-6154 |
NPI Number | 1215718002 |
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Provider Enumeration Date | 10/09/2023 |
Last Update Date | 10/09/2023 |
Identifier | Type | State | Issuer |
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1215718002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |