| Sugar Doctors Llc | |
|
8613 Old Kings Rd S Ste 301 Jacksonville FL 32217-4845 | |
| (904) 280-6650 | |
| Not Available |
| Full Name | Sugar Doctors Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8613 Old Kings Rd S Ste 301, Jacksonville, Florida |
| Authorized Official Name and Position | John A Purcell (MANAGER) |
| Authorized Official Contact | 9045146331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sugar Doctors Llc Po Box 347 St Augustine FL 32085-0347 Ph: (904) 280-6650 | Sugar Doctors Llc 8613 Old Kings Rd S Ste 301 Jacksonville FL 32217-4845 Ph: (904) 280-6650 |
| NPI Number | 1922612886 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 07/28/2022 |
| Medicare PECOS PAC ID | 8921419482 |
|---|---|
| Medicare Enrollment ID | O20201204001784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922612886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | John A Purcell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235133505 PECOS PAC ID: 4385789916 Enrollment ID: I20100306000035 |
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