| North Florida Center For Preventive Medicine Pa | |
|
14546 Old Saint Augustine Rd Suite 211 Jacksonville FL 32258-5468 | |
| (904) 268-5590 | |
| (904) 268-8305 |
| Full Name | North Florida Center For Preventive Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 14546 Old Saint Augustine Rd, Jacksonville, Florida |
| Authorized Official Name and Position | John Kalam (PRESIDENT/CEO) |
| Authorized Official Contact | 9042685590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Center For Preventive Medicine Pa 14546 Old Saint Augustine Rd Suite 211 Jacksonville FL 32258-5468 Ph: (904) 268-5590 | North Florida Center For Preventive Medicine Pa 14546 Old Saint Augustine Rd Suite 211 Jacksonville FL 32258-5468 Ph: (904) 268-5590 |
| NPI Number | 1508851270 |
|---|---|
| Provider Enumeration Date | 09/19/2005 |
| Last Update Date | 01/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508851270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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