| North Main Medical-imeson Park,pa | |
|
5212 N Pearl St Jacksonville FL 32208-5118 | |
| (904) 358-2770 | |
| (904) 353-0490 |
| Full Name | North Main Medical-imeson Park,pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5212 N Pearl St, Jacksonville, Florida |
| Authorized Official Name and Position | Josefino P Bargas (PRESIDENT) |
| Authorized Official Contact | 9043582770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Main Medical-imeson Park,pa 5212 N Pearl St Jacksonville FL 32208-5118 Ph: (904) 358-2770 | North Main Medical-imeson Park,pa 5212 N Pearl St Jacksonville FL 32208-5118 Ph: (904) 358-2770 |
| NPI Number | 1326274085 |
|---|---|
| Provider Enumeration Date | 06/08/2009 |
| Last Update Date | 08/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326274085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | FLORIDA (Florida) | Primary |
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