# FLORIDA MULTI SPECIALTY MEDICAL GROUP, PA

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

## Provider details

- **NPI number:** 1356497572
- **Authorized official:** TODD MCCLERREN DC (PRESIDENT)
- **Authorized official phone:** (904) 389-5193

## Contact information

- **Practice address:** 1561 CASSAT AVE, JACKSONVILLE, FL 32210-1701
- **Practice address phone:** (904) 389-5193
- **Practice address fax:** (904) 389-5227
- **Mailing address:** 1561 CASSAT AVE, JACKSONVILLE, FL 32210-1701
- **Mailing address phone:** (904) 389-5193
- **Mailing address fax:** (904) 389-5227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/22/2020