# DE URGENT CARE JAX PA

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

## Provider details

- **NPI number:** 1548580012
- **Authorized official:** KAY HOLMES M.D. (PRESIDENT)
- **Authorized official phone:** (904) 881-7754

## Contact information

- **Practice address:** 13457 ATLANTIC BLVD, SUITE 5, JACKSONVILLE, FL 32225-3293
- **Practice address phone:** (904) 221-9110
- **Mailing address:** 13457 ATLANTIC BLVD, SUITE 5, JACKSONVILLE, FL 32225-3293
- **Mailing address phone:** (904) 221-9110
- **Mailing address fax:** (904) 220-9110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2010
- **Last updated:** 10/17/2012