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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSONVILLE PRIMARY CARE PA

Active Organization

JACKSONVILLE PRIMARY CARE PA is a Family Medicine organization located in JACKSONVILLE, Florida. NPI 1104981398 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JACKSONVILLE, FL

Registration Details

NPI Number
1104981398
Provider Type
Organization
NPI Issued
Dec 27, 2006 (19.655406364262 yrs)
Last Updated
Nov 14, 2011
License
ME0046485 (FL)

Practice Information

Address
6028 BENNETT RD
JACKSONVILLE, FL, 322165004
Browse FL providers · Browse ZIP 32216
Phone
9047376422
Fax
9047308144
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.