# FIRST COAST PHYSICAL MEDICINE INC

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

## Provider details

- **NPI number:** 1467550525
- **Authorized official:** MS. JANET L. STEPHENS (OFFICE MANAGER)
- **Authorized official phone:** (904) 727-7733

## Contact information

- **Practice address:** 3100 UNIVERSITY BLVD. S., SUITE 320, JACKSONVILLE, FL 32216-2790
- **Practice address phone:** (904) 727-7733
- **Practice address fax:** (904) 727-7737
- **Mailing address:** P. O. BOX 55065, JACKSONVILLE, FL 32216-2790
- **Mailing address phone:** (904) 727-7733
- **Mailing address fax:** (904) 727-7737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020