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Organization
CMS JACKSONVILLE
Active
Organization
CMS JACKSONVILLE
Active
Other names
Florida Department of Health Childrens Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY KEATHLEY (PROGRAM ADMINISTRATOR)
(352) 334-1394
Entity
Organization
Contact information
Practice address
910 NORTH JEFFERSON STREET, JACKSONVILLE, FL 32209-6810
(904) 360-7070
(904) 798-4568
Mailing address
910 NORTH JEFFERSON STREET, JACKSONVILLE, FL 32209-6810
(904) 360-7070
(904) 798-4568
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
FL
Other
Enumeration date
02/28/2006
Last updated
08/14/2007
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