| Meridian Spine And Joint, Inc | |
|
9770 Old Baymeadows Rd Ste 139 Jacksonville FL 32256-7986 | |
| (904) 379-9412 | |
| (888) 502-0725 |
| Full Name | Meridian Spine And Joint, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9770 Old Baymeadows Rd Ste 139, Jacksonville, Florida |
| Authorized Official Name and Position | Nhat Nguyen (OWNER/PRESIDENT) |
| Authorized Official Contact | 9042540481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Spine And Joint, Inc 9770 Old Baymeadows Rd Ste 139 Jacksonville FL 32256-7986 Ph: (904) 379-9412 | Meridian Spine And Joint, Inc 9770 Old Baymeadows Rd Ste 139 Jacksonville FL 32256-7986 Ph: (904) 379-9412 |
| NPI Number | 1689298689 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 06/04/2020 |
| Medicare PECOS PAC ID | 8022402916 |
|---|---|
| Medicare Enrollment ID | O20220217002433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689298689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tanisha Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124526025 PECOS PAC ID: 3173872918 Enrollment ID: I20180828000477 |
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