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1104226158
ALLIANCE PHYSICIAN GROUP LLC
JACKSONVILLE, FL
NPI
1104226158
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Entity Type
Organization
Authorized Contact
ANDREW ERIKSEN
Director
904-746-4664
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
ALLIANCE PHYSICIAN GROUP LLC
855 SAINT JOHNS BLUFF RD N SKY HARBOR, UNIT 703
JACKSONVILLE, FL 32225-7309
Phone number: 800-991-6508
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Mailing Address
ALLIANCE PHYSICIAN GROUP LLC
855 SAINT JOHNS BLUFF RD N SKY HARBOR, UNIT 703
JACKSONVILLE, FL 32225-7309
Phone number: 800-991-6508
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