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1235422775
MD2U FLORIDA LLC
JACKSONVILLE, FL
NPI
1235422775
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Entity Type
Organization
Authorized Contact
GREGORY D. LATTA
CFO/CIO
502-416-1851
Organization Subpart ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
Enumeration Date
2011-05-17
Last Update Date
2012-09-25
Business Address
MD2U FLORIDA LLC
10151 DEERWOOD PARK BLVD 200-250
JACKSONVILLE, FL 32256-0566
Phone number: 502-327-9100
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Mailing Address
MD2U FLORIDA LLC
PO BOX 7219
LOUISVILLE, KY 40257-0219
Phone number: 502-416-1851
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