| NPI | 1407943228 |
|---|---|
| Doing Business As | JACKSONVILLE FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | BRUNDA REVANNA President 678-432-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-06-24 |