Naval Hospital Jacksonville | |
2080 Child St Jacksonville FL 32214-5005 | |
(904) 542-7762 | |
Not Available |
Full Name | Naval Hospital Jacksonville |
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Speciality | Family Medicine |
Location | 2080 Child St, Jacksonville, Florida |
Authorized Official Name and Position | Eugene K Wilson (RESIDENT) |
Authorized Official Contact | 9045427762 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Naval Hospital Jacksonville 2080 Child St Jacksonville FL 32214-5005 Ph: () - | Naval Hospital Jacksonville 2080 Child St Jacksonville FL 32214-5005 Ph: (904) 542-7762 |
NPI Number | 1124050448 |
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Provider Enumeration Date | 07/07/2006 |
Last Update Date | 09/19/2007 |
Identifier | Type | State | Issuer |
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1124050448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101235535 (Virginia) | Primary |
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