Memorial Urgent Care Mandarin Llc

NPI 1033193743 - Family Medicine - 207Q00000X

NPI Details
NPI 1033193743
Enumeration Date 12/06/2005
Last Updated 12/10/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MICKEY MICKEY
Position VP
Phone (904) 306-8060
Fax (904) 306-8065
Practice Location
11701 SAN JOSE BLVD
SUITE 110
JACKSONVILLE FL, 32223-0756, US
Phone (904) 306-8060
Fax (904) 306-8065
Business Location
11701-32 SAN JOSE BLVD
SUITE 110
JACKSONVILLE FL, 32223-1884, US
Phone (904) 996-7600
Fax (904) 306-8065
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Memorial Urgent Care Mandarin Llc NPI is 1033193743, taxonomy code is 207Q00000X Memorial Urgent Care Mandarin Llc physically located at 11701 San Jose Blvd, Jacksonville FL, 32223-0756. NPI Number 1033115704 has the healthcare provider type.

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1033193743 NPI number is provided on an as is basis without warranty of any kind. 1033193743 is maintained by the National Plan & Provider Enumeration System. The contents of Memorial Urgent Care Mandarin Llc are for informational purposes only.