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Organization
HYDE PARK MEDICAL ARTS INC
Active
Organization
HYDE PARK MEDICAL ARTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA JANE HAYNES (OFFICE MANAGER)
(904) 783-3700
Entity
Organization
Contact information
Practice address
6671 HYDE GROVE AVE, JACKSONVILLE, FL 32210-2839
(904) 783-3700
(904) 695-2579
Mailing address
6671 HYDE GROVE AVE, JACKSONVILLE, FL 32210-2839
(904) 783-3700
(904) 695-2579
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS7282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264729000
—
FL
Enumeration date
01/05/2007
Last updated
12/17/2012
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