| Firstcoast Internal Medicine Pa | |
|
2370 3rd St S Suite 1 Jacksonville Beach FL 32250-4023 | |
| (904) 241-8069 | |
| (904) 241-8071 |
| Full Name | Firstcoast Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2370 3rd St S, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Betty Anne Mincey (SHARE HOLDER) |
| Authorized Official Contact | 9042418069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Firstcoast Internal Medicine Pa 2370 3rd St S Suite 1 Jacksonville Beach FL 32250-4023 Ph: (904) 241-8069 | Firstcoast Internal Medicine Pa 2370 3rd St S Suite 1 Jacksonville Beach FL 32250-4023 Ph: (904) 241-8069 |
| NPI Number | 1386766616 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386766616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0071603 (Florida) | Primary |
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