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1629195300
FRUIT COVE FAMILY MEDICINE P A
JACKSONVILLE, FL
NPI
1629195300
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Entity Type
Organization
Authorized Contact
DONALD J LEVINE
President
904-287-2794
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME69268)
Enumeration Date
2007-03-26
Last Update Date
2020-08-22
Business Address
FRUIT COVE FAMILY MEDICINE P A
1400 BISHOP ESTATES RD
JACKSONVILLE, FL 32259-4244
Phone number: 904-287-2794
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Mailing Address
FRUIT COVE FAMILY MEDICINE P A
1400 BISHOP ESTATES RD
JACKSONVILLE, FL 32259-4244
Phone number: 904-287-2794
Copy
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