CLEANSLATE MEDICAL GROUP OF FLORIDA, PLLC

JACKSONVILLE, FL
NPI1225577760
Entity TypeOrganization
Authorized ContactROBERT HUTCHISON
CFO
413-584-2173
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date2017-02-16
Last Update Date2019-07-02
Business Address
CLEANSLATE MEDICAL GROUP OF FLORIDA, PLLC
1128 N LAURA ST
JACKSONVILLE, FL 32206-4912
Phone number: 904-425-0400
Mailing Address
CLEANSLATE MEDICAL GROUP OF FLORIDA, PLLC
15 CENTURY BLVD STE 307
NASHVILLE, TN 37214-3692
Phone number: 615-425-0220
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