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Organization
INTERNAL MEDICAL GROUP, INC.
Active
Organization
INTERNAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D. GLOCK M.D. (PRESIDENT)
(904) 396-0450
Entity
Organization
Contact information
Practice address
8614 BAYMEADOWS WAY, SUITE #100, JACKSONVILLE, FL 32256-8236
(904) 396-0450
(904) 346-3662
Mailing address
8614 BAYMEADOWS WAY, SUITE #100, JACKSONVILLE, FL 32256-8236
(904) 396-0450
(904) 346-3662
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77460
BCBSFL
FL
Enumeration date
04/10/2006
Last updated
08/22/2020
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