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Organization
THE DOCTORS CENTER INC
Active
Organization
THE DOCTORS CENTER INC
Active
Other names
THE DOCTORS CENTER PA
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROMANELLO (COO)
(352) 459-3661
Entity
Organization
Contact information
Practice address
9857 OLD SAINT AUGUSTINE RD STE 1, JACKSONVILLE, FL 32257-8821
(904) 861-1900
(904) 292-9684
Mailing address
9857 OLD SAINT AUGUSTINE RD STE 1, JACKSONVILLE, FL 32257-8821
(904) 861-1900
(904) 292-9684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018488
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
39739
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/23/2006
Last updated
09/20/2024
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