Rfh Jacksonville Llc | |
4811 Beach Blvd Ste 300 Jacksonville FL 32207-4867 | |
(470) 292-3820 | |
(470) 280-9511 |
Full Name | Rfh Jacksonville Llc |
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Speciality | Family Medicine |
Location | 4811 Beach Blvd Ste 300, Jacksonville, Florida |
Authorized Official Name and Position | Randall L Haupt (EXECUTIVE VICE PRESIDENT, SGI) |
Authorized Official Contact | 4702923820 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rfh Jacksonville Llc 10680 Medlock Bridge Rd Ste 101 Johns Creek GA 30097-8420 Ph: (470) 292-3820 | Rfh Jacksonville Llc 4811 Beach Blvd Ste 300 Jacksonville FL 32207-4867 Ph: (470) 292-3820 |
NPI Number | 1316709272 |
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Provider Enumeration Date | 01/26/2024 |
Last Update Date | 10/29/2024 |
Medicare PECOS PAC ID | 1759723661 |
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Medicare Enrollment ID | O20240523001865 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316709272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Frank David Curvin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457397382 PECOS PAC ID: 1557321353 Enrollment ID: I20240524000091 |
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