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

JACKSONVILLE IMPOTENCE TREATMENT CENTER

Active Organization

JACKSONVILLE IMPOTENCE TREATMENT CENTER is a Clinic/Center organization located in JACKSONVILLE, Florida. NPI 1508893579 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · JACKSONVILLE, FL

Registration Details

NPI Number
1508893579
Provider Type
Organization
NPI Issued
Jun 27, 2006 (19.946496542847 yrs)
Last Updated
Mar 31, 2008
License
ME0053960 (FL)

Practice Information

Address
2950 HALCYON LANE
SUITE706
JACKSONVILLE, FL, 32223
Browse FL providers · Browse ZIP 32223
Phone
9048801366
Fax
9048808038
Primary Specialty
Clinic/Center
261Q00000X
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.