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Organization
NORTHEAST FLORIDA PRIMARY CARE CLINIC
Active
Organization
NORTHEAST FLORIDA PRIMARY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK EDWARD PULWERS JR. MD (PRESIDENT)
(904) 215-9266
Entity
Organization
Contact information
Practice address
1835 EAST-WEST PARKWAY, SUITE 11, ORANGE PARK, FL 32003
(904) 215-9266
(904) 264-4651
Mailing address
1835 EAST-WEST PARKWAY, SUITE 11, ORANGE PARK, FL 32003
(904) 215-9266
(904) 264-4651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0076341
FL
207R00000X
Internal Medicine Physician
ME0068123
FL
Other
Enumeration date
09/06/2006
Last updated
09/11/2025
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