| St. Johns Bluff Family Practice | |
|
3690 Saint Johns Bluff Rd S Jacksonville FL 32224-2616 | |
| (904) 564-4343 | |
| (904) 224-7051 |
| Full Name | St. Johns Bluff Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 3690 Saint Johns Bluff Rd S, Jacksonville, Florida |
| Authorized Official Name and Position | Merrianne Renee Rust (OFFICE MANAGER) |
| Authorized Official Contact | 9045644343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Johns Bluff Family Practice 3690 Saint Johns Bluff Rd S Jacksonville FL 32224-2616 Ph: (904) 564-4343 | St. Johns Bluff Family Practice 3690 Saint Johns Bluff Rd S Jacksonville FL 32224-2616 Ph: (904) 564-4343 |
| NPI Number | 1760695852 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760695852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME060414 (Florida) | Primary |
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