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Organization
EAGLE ONE MEDICAL, INC.
Active
Organization
EAGLE ONE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KELLY (OWNER)
(904) 647-7150
Entity
Organization
Contact information
Practice address
644 CESERY BLVD STE 101, JACKSONVILLE, FL 32211-7165
(904) 647-7150
(904) 551-2462
Mailing address
644 CESERY BLVD STE 101, JACKSONVILLE, FL 32211-7165
(904) 647-7150
(904) 551-2462
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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