| NPI | 1003874553 |
|---|---|
| Former Legal Business Name | JORGE JACKSONVILLE CO |
| Entity Type | Organization |
| Authorized Contact | JORGE A AGUILAR Md President 904-241-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-12-15 |