FL DEPARTMENT OF HEALTH

NPI # 

Practice Address:

1736 University Blvd S

Jacksonville, FL, 32216-8929

Practice Phone:

904-253-1100

Practice Fax:

904-727-6548

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X