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Organization
JAX FAMILY HEALTH CLINIC PLLC
Active
Organization
JAX FAMILY HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBHADRA CHEREDDY MD (CEO)
(904) 999-4684
Entity
Organization
Contact information
Practice address
130 LAND GRANT ST STE 6, ST AUGUSTINE, FL 32092-2262
(904) 999-4684
Mailing address
130 LAND GRANT ST STE 6, ST AUGUSTINE, FL 32092-2262
(904) 999-4684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
06/29/2026
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