# PATRICK KAMISH MD PA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053641688
- **Authorized official:** MR. DOUGLAS EDWARDS (MANAGER)
- **Authorized official phone:** (904) 585-9855

## Contact information

- **Practice address:** 1710 PEARCE ST, JACKSONVILLE, FL 32209-6144
- **Practice address phone:** (904) 585-9855
- **Mailing address:** 1710 PEARCE ST, JACKSONVILLE, FL 32209-6144
- **Mailing address phone:** (904) 585-9855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | FL | Yes |

## Other

- **Enumeration date:** 01/04/2010
- **Last updated:** 01/04/2010