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Organization
NAVAL HOSPITAL JACKSONVILLE
Active
Organization
NAVAL HOSPITAL JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE K WILSON III MD (RESIDENT)
(904) 542-7762
Entity
Organization
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7762
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101235535
VA
Other
Enumeration date
07/07/2006
Last updated
09/19/2007
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