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1619341039
JACKSONVILLE MEDICAL GROUP, LLC
ORANGE PARK, FL
NPI
1619341039
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Entity Type
Organization
Authorized Contact
SAMAN SOLEYMANI
Owner
904-962-7396
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ZZ ME88018)
Enumeration Date
2015-11-23
Last Update Date
2016-07-20
Business Address
JACKSONVILLE MEDICAL GROUP, LLC
1409 KINGSLEY AVE SUITE 9G
ORANGE PARK, FL 32073-4537
Phone number: 904-637-0037
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Mailing Address
JACKSONVILLE MEDICAL GROUP, LLC
396 N LOMBARDY LOOP
JACKSONVILLE, FL 32259-5266
Phone number:
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