Qualified Emergency Group Pa

NPI 1760683189 - Clinic/Center - 261QU0200X

NPI Details
NPI 1760683189
Enumeration Date 05/31/2007
Last Updated 09/29/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name NICK NICK
Position SHAREHOLDER
Phone (904) 854-7911
Fax (904) 854-7912
Practice Location
11048 BAYMEADOWS RD UNIT 9
JACKSONVILLE FL, 32256-9583, US
Phone (904) 854-7911
Fax (904) 854-7912
Business Location
11048 BAYMEADOWS RD UNIT 9
JACKSONVILLE FL, 32256-9583, US
Phone (904) 854-7911
Fax (904) 854-7912
Toxanomy
Taxonomy Code 261QU0200X
License State
License Number
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According to our database, Qualified Emergency Group Pa NPI is 1760683189, taxonomy code is 261QU0200X Qualified Emergency Group Pa physically located at 11048 Baymeadows Rd Unit 9, Jacksonville FL, 32256-9583. NPI Number 1033115704 has the healthcare provider type.

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1760683189 NPI number is provided on an as is basis without warranty of any kind. 1760683189 is maintained by the National Plan & Provider Enumeration System. The contents of Qualified Emergency Group Pa are for informational purposes only.