FLORIDA DEPARTMENT OF HEALTH

NPI # 

Practice Address:

5150 Timuquana Rd , Suite 9

Jacksonville, FL, 32210-8959

Practice Phone:

904-253-1120

Practice Fax:

904-253-2514

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X