Port Health & Wellness Center | |
1851 Talleyrand Ave Jacksonville FL 32206-5473 | |
(904) 358-4450 | |
(904) 358-4427 |
Full Name | Port Health & Wellness Center |
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Speciality | Clinic/center - Primary Care |
Location | 1851 Talleyrand Ave, Jacksonville, Florida |
Authorized Official Name and Position | Ed Brown (GROUP VICE PRESIDENT) |
Authorized Official Contact | 9545963976 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Port Health & Wellness Center 111 Jim Moran Blvd Deerfield Beach FL 33442-1701 Ph: (954) 429-2418 | Port Health & Wellness Center 1851 Talleyrand Ave Jacksonville FL 32206-5473 Ph: (904) 358-4450 |
NPI Number | 1881084390 |
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Provider Enumeration Date | 02/04/2015 |
Last Update Date | 02/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881084390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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