Id Associates Of Jacksonville Pa | |
2 Shircliff Way Ste 610 Jacksonville FL 32204-4753 | |
(904) 387-5027 | |
(904) 387-2208 |
Full Name | Id Associates Of Jacksonville Pa |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 2 Shircliff Way, Jacksonville, Florida |
Authorized Official Name and Position | Jean-paul Montoya (OWNER) |
Authorized Official Contact | 9043875027 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Id Associates Of Jacksonville Pa 2 Shircliff Way Ste 610 Jacksonville FL 32204-4753 Ph: (904) 387-5027 | Id Associates Of Jacksonville Pa 2 Shircliff Way Ste 610 Jacksonville FL 32204-4753 Ph: (904) 387-5027 |
NPI Number | 1013107077 |
---|---|
Provider Enumeration Date | 07/26/2007 |
Last Update Date | 07/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013107077 | NPI | - | NPPES |
001362900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
News Archive
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