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1962607739
JACKSONVILLE INTERNAL MEDICINE
JACKSONVILLE, FL
NPI
1962607739
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Entity Type
Organization
Authorized Contact
ILENE S LEVENSON
Owner
904-396-0454
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME0043103)
Enumeration Date
2007-06-20
Last Update Date
2020-08-22
Business Address
JACKSONVILLE INTERNAL MEDICINE
6144 GAZEBO PARK PL S SUITE 102
JACKSONVILLE, FL 32257-1099
Phone number: 904-396-0454
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Mailing Address
JACKSONVILLE INTERNAL MEDICINE
6144 GAZEBO PARK PL S SUITE 102
JACKSONVILLE, FL 32257-1099
Phone number: 904-396-0454
Copy
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