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Organization
PHYSICIANS MEDICAL CENTER, INC.
Active
Organization
PHYSICIANS MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE CRITZER (OWNER/OFFICE MANAGER)
(904) 262-9444
Entity
Organization
Contact information
Practice address
9826 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5438
(904) 262-9444
(904) 262-3750
Mailing address
9826 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5438
(904) 262-9444
(904) 262-3750
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593466707
CHIRO ALLIANCE
FL
01
—
88269
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/13/2006
Last updated
02/19/2010
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