# UNITED STATES NAVY

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

## Provider details

- **NPI number:** 1487077624
- **Authorized official:** GAYLE SHAFFER (COMMANDING OFFICER)
- **Authorized official phone:** (904) 542-4677

## Contact information

- **Practice address:** 2080 CHILD ST, JACKSONVILLE, FL 32214-5005
- **Practice address phone:** (904) 542-7082
- **Mailing address:** 2080 CHILD ST, JACKSONVILLE, FL 32214-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2014
- **Last updated:** 01/23/2014