| Jax's Family Care And Research Center, P.a. | |
|
5233 Ricker Rd Ste 101 Suite 101 Jacksonville FL 32224-1148 | |
| (904) 425-6963 | |
| Not Available |
| Full Name | Jax's Family Care And Research Center, P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5233 Ricker Rd Ste 101, Jacksonville, Florida |
| Authorized Official Name and Position | Jairo Antonio De La Hoz (ADMINISTRATOR) |
| Authorized Official Contact | 9044256963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jax's Family Care And Research Center, P.a. 5233 Ricker Rd Ste 101 Suite 101 Jacksonville FL 32224-1148 Ph: () - | Jax's Family Care And Research Center, P.a. 5233 Ricker Rd Ste 101 Suite 101 Jacksonville FL 32224-1148 Ph: (904) 425-6963 |
| NPI Number | 1649451295 |
|---|---|
| Provider Enumeration Date | 11/23/2007 |
| Last Update Date | 11/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649451295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME70797 (Florida) | Primary |
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