Pennic, Wooten& Associates Family Medical Care Pa | |
1760 Edgewood Ave W B Jacksonville FL 32208-7209 | |
(904) 358-8480 | |
(904) 358-8460 |
Full Name | Pennic, Wooten& Associates Family Medical Care Pa |
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Speciality | Family Medicine |
Location | 1760 Edgewood Ave W, Jacksonville, Florida |
Authorized Official Name and Position | Sonya Lucas (OFFICE MANANGER) |
Authorized Official Contact | 9043588480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pennic, Wooten& Associates Family Medical Care Pa 1760 Edgewood Ave W B Jacksonville FL 32208-7209 Ph: (904) 358-8480 | Pennic, Wooten& Associates Family Medical Care Pa 1760 Edgewood Ave W B Jacksonville FL 32208-7209 Ph: (904) 358-8480 |
NPI Number | 1194789958 |
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Provider Enumeration Date | 04/17/2006 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194789958 | NPI | - | NPPES |
34367 | Other | FL | BLUECROSS BLUESHIELD # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Florida) | Primary |
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Reginald L. Sykes, Sr, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3160 Edgewood Ave W, Jacksonville, FL 32209 Phone: 904-768-8222 Fax: 904-482-0373 |