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Organization
ST. JOHNS BLUFF FAMILY PRACTICE
Active
Organization
ST. JOHNS BLUFF FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERRIANNE RENEE RUST (OFFICE MANAGER)
(904) 564-4343
Entity
Organization
Contact information
Practice address
3690 SAINT JOHNS BLUFF RD S, JACKSONVILLE, FL 32224-2616
(904) 564-4343
(904) 224-7051
Mailing address
3690 SAINT JOHNS BLUFF RD S, JACKSONVILLE, FL 32224-2616
(904) 564-4343
(904) 224-7051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME060414
FL
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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