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Organization
MED-CARE MD PA
Active
Organization
MED-CARE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANANTHY NALLAPILLAI MD (PRESIDENT)
(904) 880-5220
Entity
Organization
Contact information
Practice address
3661 CROWN POINT CT, STE A, JACKSONVILLE, FL 32257-5967
(904) 880-5220
Mailing address
13105 CRICKET COVE RD N, JACKSONVILLE, FL 32224-8405
(904) 880-5220
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
ME0071493
FL
Other
Enumeration date
11/25/2008
Last updated
02/08/2010
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