| NPI | 1922161280 |
|---|---|
| Doing Business As | JACKSONVILLE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | ROBERT T CLARK President And CEO 217-788-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-03-06 |