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Organization
JACKSONVILLE PRIMARY CARE PA
Active
Organization
JACKSONVILLE PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CICERON LAZO MD (PRESIDENT)
(904) 838-7581
Entity
Organization
Contact information
Practice address
8016 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8751
(904) 838-7581
Mailing address
8016 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8751
(904) 838-7581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0046485
FL
Other
Enumeration date
12/27/2006
Last updated
06/03/2026
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