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Organization
UNITED STATES NAVY
Active
Organization
UNITED STATES NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE SHAFFER (COMMANDING OFFICER)
(904) 542-4677
Entity
Organization
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7082
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
NULL
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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