| Glycare | |
|
7751 Belfort Pkwy Ste 120 Jacksonville FL 32256-6921 | |
| (904) 372-3943 | |
| (904) 212-1618 |
| Full Name | Glycare |
|---|---|
| Speciality | Internal Medicine |
| Location | 7751 Belfort Pkwy Ste 120, Jacksonville, Florida |
| Authorized Official Name and Position | Kyle Mooney (CEO) |
| Authorized Official Contact | 9043723943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glycare 7751 Belfort Pkwy Ste 120 Jacksonville FL 32256-6921 Ph: (904) 372-3943 | Glycare 7751 Belfort Pkwy Ste 120 Jacksonville FL 32256-6921 Ph: (904) 372-3943 |
| NPI Number | 1013461193 |
|---|---|
| Provider Enumeration Date | 08/07/2016 |
| Last Update Date | 10/05/2023 |
| Medicare PECOS PAC ID | 9436435385 |
|---|---|
| Medicare Enrollment ID | O20170410000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013461193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | David R Sutton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447252523 PECOS PAC ID: 1850433582 Enrollment ID: I20100119000503 |
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