Primary Care Choices | |
11681 Lois Jerry Rd Jacksonville FL 32258-2503 | |
(904) 254-5603 | |
(904) 643-4724 |
Full Name | Primary Care Choices |
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Speciality | Clinic/Center |
Location | 11681 Lois Jerry Rd, Jacksonville, Florida |
Authorized Official Name and Position | Margaret Mosher (OWNER) |
Authorized Official Contact | 9042545603 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Choices 11681 Lois Jerry Rd Jacksonville FL 32258-2503 Ph: (904) 254-5603 | Primary Care Choices 11681 Lois Jerry Rd Jacksonville FL 32258-2503 Ph: (904) 254-5603 |
NPI Number | 1891560744 |
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Provider Enumeration Date | 11/21/2023 |
Last Update Date | 11/21/2023 |
Medicare PECOS PAC ID | 7012367881 |
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Medicare Enrollment ID | O20231220002811 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891560744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Margaret Helen Mosher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184050577 PECOS PAC ID: 7113151754 Enrollment ID: I20131014001517 |
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