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Organization
REID PHYSICIANS GROUP OF JACKSONVILLE LLC
Active
Organization
REID PHYSICIANS GROUP OF JACKSONVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANA AMELIA SANCHEZ MD (MEDICAL DIRECTOR)
(904) 646-4225
Entity
Organization
Contact information
Practice address
1205 MONUMENT RD, SUITE 202, JACKSONVILLE, FL 32225-6482
(904) 646-4225
(904) 646-4227
Mailing address
1205 MONUMENT RD, SUITE 201, JACKSONVILLE, FL 32225-6482
(904) 646-4225
(904) 646-4227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME85541
FL
363LF0000X
Family Nurse Practitioner
ARNP9389534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268855700
—
FL
Enumeration date
11/10/2015
Last updated
06/03/2016
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