Internal Medical Group, Inc. | |
8614 Baymeadows Way Suite #100 Jacksonville FL 32256-8236 | |
(904) 396-0450 | |
(904) 346-3662 |
Full Name | Internal Medical Group, Inc. |
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Speciality | Internal Medicine |
Location | 8614 Baymeadows Way, Jacksonville, Florida |
Authorized Official Name and Position | Richard D. Glock (PRESIDENT) |
Authorized Official Contact | 9043960450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Internal Medical Group, Inc. 8614 Baymeadows Way Suite #100 Jacksonville FL 32256-8236 Ph: (904) 396-0450 | Internal Medical Group, Inc. 8614 Baymeadows Way Suite #100 Jacksonville FL 32256-8236 Ph: (904) 396-0450 |
NPI Number | 1164485223 |
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Provider Enumeration Date | 04/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164485223 | NPI | - | NPPES |
77460 | Other | FL | BCBSFL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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