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1932136314
FIRST COAST LTC INC
JACKSONVILLE, FL
NPI
1932136314
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Entity Type
Organization
Authorized Contact
DAVID J SAMARA
President
904-309-6504
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2006-06-28
Last Update Date
2016-03-07
Business Address
FIRST COAST LTC INC
6555 CHESTER AVE STE 1
JACKSONVILLE, FL 32217-2279
Phone number: 904-309-6504
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Mailing Address
FIRST COAST LTC INC
6555 CHESTER AVE STE 1
JACKSONVILLE, FL 32217-2279
Phone number: 904-309-6504
Copy
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