ALRA

NPI # 

Practice Address:

3658 Boone Park Ave

Jacksonville, FL, 32205-9031

Practice Phone:

904-384-0447

Practice Fax:

904-384-0447

License Number:

HCC3852

License State:

FL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X