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Organization
AFFIRM DIRECT PRIMARY CARE P.A.
Active
Organization
AFFIRM DIRECT PRIMARY CARE P.A.
Active
Other names
Affirm DPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNIQUE BENNETT MD (DIRECTOR)
(904) 839-1990
Entity
Organization
Contact information
Practice address
6871 BELFORT OAKS PL STE 300, JACKSONVILLE, FL 32216-6242
(904) 893-1990
Mailing address
6871 BELFORT OAKS PL STE 300, JACKSONVILLE, FL 32216-6242
(904) 893-1990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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