| Taolin C Jen Md Pa | |
|
3 Shircliff Way Suite 614 Jacksonville FL 32204-4776 | |
| (904) 387-9033 | |
| (904) 387-9561 |
| Full Name | Taolin C Jen Md Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3 Shircliff Way, Jacksonville, Florida |
| Authorized Official Name and Position | Taolin C Jen (PRESIDENT) |
| Authorized Official Contact | 9043879033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taolin C Jen Md Pa 3 Shircliff Way Suite 614 Jacksonville FL 32204-4776 Ph: (904) 387-9033 | Taolin C Jen Md Pa 3 Shircliff Way Suite 614 Jacksonville FL 32204-4776 Ph: (904) 387-9033 |
| NPI Number | 1881912061 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 05/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881912061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | P93000013252 (Florida) | Primary |
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