# FIRST COAST PRIMARY CARE INC

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

## Provider details

- **NPI number:** 1528197993
- **Authorized official:** LINDA E GOODEN (ADMINISTRATION MANAGER)
- **Authorized official phone:** (904) 400-6100

## Contact information

- **Practice address:** 4040 WOODCOCK DR, SUITE 250, JACKSONVILLE, FL 32207-2720
- **Practice address phone:** (904) 400-6103
- **Practice address fax:** (904) 400-6102
- **Mailing address:** PO BOX 61148, JACKSONVILLE, FL 32236-1148
- **Mailing address phone:** (904) 400-6100
- **Mailing address fax:** (904) 400-6102

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2007
- **Last updated:** 09/28/2011