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Organization
PRO-MED COLLECTORS LLC
Active
Organization
PRO-MED COLLECTORS LLC
Active
Other names
ProMed Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAISSAM BARAKAT (PRESIDENT)
(904) 962-6005
Entity
Organization
Contact information
Practice address
1907 ATLANTIC BLVD, JACKSONVILLE, FL 32207-3466
(904) 388-4712
Mailing address
1462 FLANDERS RD, JACKSONVILLE, FL 32207-1904
(904) 388-4712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
01/02/2014
Last updated
01/14/2015
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