First Coast Diabetes Institute, Llc | |
1126 University Blvd N Jacksonville FL 32211-8850 | |
(904) 384-9303 | |
Not Available |
Full Name | First Coast Diabetes Institute, Llc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 1126 University Blvd N, Jacksonville, Florida |
Authorized Official Name and Position | Marcio Correa (CEO) |
Authorized Official Contact | 9047033041 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
First Coast Diabetes Institute, Llc 1166 Autumn Point Ct Jacksonville FL 32218-9029 Ph: (904) 703-3041 | First Coast Diabetes Institute, Llc 1126 University Blvd N Jacksonville FL 32211-8850 Ph: (904) 384-9303 |
NPI Number | 1588903231 |
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Provider Enumeration Date | 01/31/2013 |
Last Update Date | 01/31/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588903231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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