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Organization
REGIONAL OBSTETRIC CONSULTANTS
Active
Organization
REGIONAL OBSTETRIC CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE KAYE THRASHER (OFFICE MANAGER)
(904) 398-7684
Entity
Organization
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 1800, JACKSONVILLE, FL 32207-8334
(904) 398-7684
(904) 398-4998
Mailing address
836 PRUDENTIAL DR, SUITE 1800, JACKSONVILLE, FL 32207-8334
(904) 398-7684
(904) 398-4998
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77611
BLUE CROSS BLUE SHHIELD
FL
Enumeration date
02/08/2007
Last updated
08/22/2020
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