# AFFIRM DIRECT PRIMARY CARE P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Affirm DPC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629811930
- **Authorized official:** DR. JOHNIQUE BENNETT MD (DIRECTOR)
- **Authorized official phone:** (904) 839-1990

## Contact information

- **Practice address:** 6871 BELFORT OAKS PL STE 300, JACKSONVILLE, FL 32216-6242
- **Practice address phone:** (904) 893-1990
- **Mailing address:** 6871 BELFORT OAKS PL STE 300, JACKSONVILLE, FL 32216-6242
- **Mailing address phone:** (904) 893-1990

## Taxonomy

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

## Other

- **Enumeration date:** 06/14/2024
- **Last updated:** 06/14/2024