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Organization
VETERANS HEALTH CARE SYSTEMS NORTH FLORIDA
Active
Organization
VETERANS HEALTH CARE SYSTEMS NORTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH KELVIN PUGH RPSGT (MIT WORK LEADER/MEDICAL SERVICES)
(904) 866-6914
Entity
Organization
Contact information
Practice address
1015 ONTARIO ST, JACKSONVILLE, FL 32254-2073
(904) 866-6914
Mailing address
1015 ONTARIO ST, JACKSONVILLE, FL 32254-2073
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
5281
NY
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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