| Daniel Memorial Inc | |
|
3725 Belfort Rd Jacksonville FL 32216-5813 | |
| (904) 296-1055 | |
| (904) 448-7700 |
| Full Name | Daniel Memorial Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3725 Belfort Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Harry W. Williams (DIRECTOR) |
| Authorized Official Contact | 9042961055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Memorial Inc 3725 Belfort Rd Jacksonville FL 32216-5813 Ph: (904) 296-1055 | Daniel Memorial Inc 3725 Belfort Rd Jacksonville FL 32216-5813 Ph: (904) 296-1055 |
| NPI Number | 1316105091 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316105091 | NPI | - | NPPES |
| 075421800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH4894 (Florida) | Primary |
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