# FSCZ LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255675831
- **Authorized official:** DR. FADI R CHALHOUB M.D. (MD)
- **Authorized official phone:** (904) 388-3351

## Contact information

- **Practice address:** 2436 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2002
- **Practice address phone:** (904) 388-3351
- **Mailing address:** 2436 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME82883 | FL | Yes |

## Other

- **Enumeration date:** 11/20/2012
- **Last updated:** 11/20/2012
