NPI Provider: 1053366880
Contact Name: HASSAN LISA
Position: PRACTICE MANAGER
Phone: (904) 260-4461
The Doctors Center Pa Information:
The Doctors Center Pa organization have npi 1053366880, taxonomy code is 332900000X with license number is ME36669 in . This Business address located in 9857 Old Saint Augustine Rd, Jacksonville, FL 32257 Florida.
Practice Location
Address: 9857 Old Saint Augustine Rd, Jacksonville, FL 32257
Phone: (904) 292-0322
Business Location
Address: 9857 Old Saint Augustine Rd, Jacksonville, FL 32257
Taxonomy
Taxonomy Code: 332900000X
License Number: ME36669
License Number of State: FL
Primary Taxonomy Switch: Y
Enumeration Date: 5/23/2006
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