| Primary Care And Wellness Center Of Florida | |
|
8075 Gate Pkwy W Ste 302 Jacksonville FL 32216-3685 | |
| (904) 880-4505 | |
| Not Available |
| Full Name | Primary Care And Wellness Center Of Florida |
|---|---|
| Speciality | Family Medicine |
| Location | 8075 Gate Pkwy W Ste 302, Jacksonville, Florida |
| Authorized Official Name and Position | Josie Green (MANAGER) |
| Authorized Official Contact | 9048804505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care And Wellness Center Of Florida Po Box 551586 Jacksonville FL 32255-1586 Ph: (904) 880-4505 | Primary Care And Wellness Center Of Florida 8075 Gate Pkwy W Ste 302 Jacksonville FL 32216-3685 Ph: (904) 880-4505 |
| NPI Number | 1700204120 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 04/02/2014 |
| Medicare PECOS PAC ID | 6608096037 |
|---|---|
| Medicare Enrollment ID | O20141006001914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700204120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Beethoven T Ruedas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346247418 PECOS PAC ID: 6305938176 Enrollment ID: I20070824000144 |
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