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Organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
Active
Organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
Active
Parent organization
SHANDS JACKSONVILLE MEDICAL CENTER, INC.
Other names
Shands Jacksonville Plaza Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHANDS JACKSONVILLE MEDICAL CENTER, INC.
Authorized official
MR. MICHAEL E GLEASON (VP OF FINANCE AND TREASURER)
(904) 244-8675
Entity
Organization
Contact information
Practice address
580 W 8TH ST # 2, JACKSONVILLE, FL 32209-6533
(904) 244-9162
(904) 244-9166
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-8675
(904) 244-4027
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH21850
FL
Other
Enumeration date
09/27/2006
Last updated
07/22/2024
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