| NPI Details | |
|---|---|
| NPI | 1245525518 |
| Enumeration Date | 06/15/2011 |
| Last Updated | 06/23/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 7 years ago |
| Authorized Information | |
|---|---|
| Name | NICHOLAS NICHOLAS |
| Position | PRESIDENT |
| Phone | (904) 854-7911 |
| Fax | (904) 854-7912 |
| Practice Location | |
|---|---|
| 11048 BAYMEADOWS RD STE 9 JACKSONVILLE FL, 32256-9699, US |
|
| Phone | (904) 854-7911 |
| Fax | (904) 854-7912 |
| Business Location | |
|---|---|
| 11048-9 BAYMEADOWS ROAD JACKSONVILLE FL, 32256, US |
|
| Phone | (904) 854-7911 |
| Fax | (904) 854-7912 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QP2300X |
| License State | Florida |
| License Number | P10000084848 |
| Remove 1245525518 NPI Number | |
According to our database, Quality Primary Care P A NPI is 1245525518, taxonomy code is 261QP2300X and license number is P10000084848, license state is located at Florida. Quality Primary Care P A physically located at 11048 Baymeadows Rd, Jacksonville FL, 32256-9699. NPI Number 1033115704 has the healthcare provider type.
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1245525518 NPI number is provided on an as is basis without warranty of any kind. 1245525518 is maintained by the National Plan & Provider Enumeration System. The contents of Quality Primary Care P A are for informational purposes only.
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