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Organization
ST JOHNS MEDICAL CENTER PA
Active
Organization
ST JOHNS MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN S ALEXANDER DC (PRESIDENT)
(904) 645-7559
Entity
Organization
Contact information
Practice address
2511 ST. JOHNS BLUFF RD. SO., JACKSONVILLE, FL 32246
(904) 645-7559
(904) 241-0255
Mailing address
2511 ST. JOHNS BLUFF RD. SO., JACKSONVILLE, FL 32246
(904) 645-7559
(904) 241-0255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7497
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382083100
—
FL
Enumeration date
08/20/2006
Last updated
06/19/2008
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