JACKSONVILLE IMPOTENCE TREATMENT CENTER

JACKSONVILLE, FL
NPI1508893579
Doing Business AsJITC
Entity TypeOrganization
Authorized ContactROGER JAMES MILLER
President., Jitc
904-880-1366
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: FL  ME0053960)
Enumeration Date2006-06-27
Last Update Date2008-03-31
Business Address
JACKSONVILLE IMPOTENCE TREATMENT CENTER
2950 HALCYON LANE SUITE706
JACKSONVILLE, FL 32223
Phone number: 904-880-1366
Mailing Address
JACKSONVILLE IMPOTENCE TREATMENT CENTER
2950 HALCYON LANE SUITE706
JACKSONVILLE, FL 32223
Phone number: 904-880-1366