NH JAX

JACKSONVILLE, FL
NPI1275513871
Entity TypeOrganization
Authorized ContactRAQUEL BONO
Commanding Officer
904-542-7300
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A64120)
Enumeration Date2006-01-19
Last Update Date2008-07-17
Business Address
NH JAX
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-7975
Mailing Address
NH JAX
627 CARRACK DR
SAINT MARYS, GA 31558-2600
Phone number: