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Organization
JM GARMENDIA MD PA
Active
Organization
JM GARMENDIA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MANUEL GARMENDIA M.D, (PRESIDENT)
(904) 384-5553
Entity
Organization
Contact information
Practice address
2636 OAK ST, JACKSONVILLE, FL 32204-4506
(904) 384-5553
(904) 384-2173
Mailing address
2636 OAK ST, JACKSONVILLE, FL 32204-4506
(904) 384-5553
(904) 384-2173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0053646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000516689A
—
GA
05
—
052375500
—
FL
Enumeration date
08/15/2011
Last updated
11/17/2011
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