| Sulzbacher Center | |
|
611 E Adams St Jacksonville FL 32202-2847 | |
| (904) 394-8070 | |
| Not Available |
| Full Name | Sulzbacher Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 611 E Adams St, Jacksonville, Florida |
| Authorized Official Name and Position | Kathleen Patneau (ADMINISTRATOR) |
| Authorized Official Contact | 9043948056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sulzbacher Center 611 E Adams St Jacksonville FL 32202-2847 Ph: (904) 394-8070 | Sulzbacher Center 611 E Adams St Jacksonville FL 32202-2847 Ph: (904) 394-8070 |
| NPI Number | 1710051354 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 03/23/2012 |
| Medicare PECOS PAC ID | 2860652641 |
|---|---|
| Medicare Enrollment ID | O20120402000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710051354 | NPI | - | NPPES |
| 6860320 00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6860320 00 (Florida) | Primary |
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