# SHANDS JACKSONVILLE MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHANDS JACKSONVILLE MEDICAL CENTER, INC.
- **Other names:** Shands Jacksonville Plaza Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073604914
- **Legal business name:** SHANDS JACKSONVILLE MEDICAL CENTER, INC.
- **Authorized official:** MR. MICHAEL E GLEASON (VP OF FINANCE AND TREASURER)
- **Authorized official phone:** (904) 244-8675

## Contact information

- **Practice address:** 580 W 8TH ST \# 2, JACKSONVILLE, FL 32209-6533
- **Practice address phone:** (904) 244-9162
- **Practice address fax:** (904) 244-9166
- **Mailing address:** 655 W 8TH ST, JACKSONVILLE, FL 32209-6511
- **Mailing address phone:** (904) 244-8675
- **Mailing address fax:** (904) 244-4027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PH21850 | FL | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 07/22/2024