| Jacksonville Urgent Care Llc | |
|
1126 University Blvd N Jacksonville FL 32211-8850 | |
| (832) 651-0323 | |
| Not Available |
| Full Name | Jacksonville Urgent Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1126 University Blvd N, Jacksonville, Florida |
| Authorized Official Name and Position | Chidi Uche (PRESIDENT) |
| Authorized Official Contact | 8326510323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacksonville Urgent Care Llc 1126 University Blvd N Jacksonville FL 32211-8850 Ph: (832) 651-0323 | Jacksonville Urgent Care Llc 1126 University Blvd N Jacksonville FL 32211-8850 Ph: (832) 651-0323 |
| NPI Number | 1194962142 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 10/31/2014 |
| Medicare PECOS PAC ID | 0941348908 |
|---|---|
| Medicare Enrollment ID | O20091111000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194962142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME97989 (Florida) | Primary |
| Provider Name | Chidi U Uche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891828448 PECOS PAC ID: 4587756135 Enrollment ID: I20070827000936 |
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