IVPS OF JACKSONSONVILLE

JACKSONVILLE, FL
NPI1750730727
Entity TypeOrganization
Authorized ContactJENEANE MARIE WAKULA
Office Manager
772-546-9591
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: FL  OS7123)
Enumeration Date2016-06-09
Last Update Date2016-06-09
Business Address
IVPS OF JACKSONSONVILLE
1050 RIVERSIDE AVE
JACKSONVILLE, FL 32204-4142
Phone number: 904-853-1981
Mailing Address
IVPS OF JACKSONSONVILLE
8929 SE BRIDGE RD
HOBE SOUND, FL 33455-5312
Phone number: 772-546-9591
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