# ALLIANCE PHYSICIAN GROUP LLC

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

## Provider details

- **NPI number:** 1104226158
- **Authorized official:** ANDREW ERIKSEN (DIRECTOR)
- **Authorized official phone:** (904) 746-4664

## Contact information

- **Practice address:** 855 SAINT JOHNS BLUFF RD N, SKY HARBOR, UNIT 703, JACKSONVILLE, FL 32225-7309
- **Practice address phone:** (800) 991-6508
- **Mailing address:** 855 SAINT JOHNS BLUFF RD N, SKY HARBOR, UNIT 703, JACKSONVILLE, FL 32225-7309
- **Mailing address phone:** (800) 991-6508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | FL | Yes |

## Other

- **Enumeration date:** 08/27/2014
- **Last updated:** 08/27/2014