LILLYS MEDICAL CENTER LLC

JACKSONVILLE, FL
NPI1063007854
Entity TypeOrganization
Authorized ContactGEORGETTE L PROVOST-DUKES
A RN P
407-719-5723
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2021-03-04
Last Update Date2021-03-17
Business Address
LILLYS MEDICAL CENTER LLC
4241 BAYMEADOWS RD STE 6
JACKSONVILLE, FL 32217-4673
Phone number: 407-719-5723
Mailing Address
LILLYS MEDICAL CENTER LLC
4241 BAYMEADOWS RD STE 6
JACKSONVILLE, FL 32217-4673
Phone number: 407-719-5723
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