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Organization
JACKSONVILLE HOSPITALISTS PA
Active
Organization
JACKSONVILLE HOSPITALISTS PA
Active
Other names
Cisca Pulmonary and Critical Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ESCAMILLA (CEO)
(904) 493-3390
Entity
Organization
Contact information
Practice address
8613 OLD KINGS RD S STE 602, JACKSONVILLE, FL 32217-4863
(904) 493-3390
(904) 493-3395
Mailing address
8613 OLD KINGS RD S STE 602, JACKSONVILLE, FL 32217-4863
(904) 493-3390
(904) 493-3395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261029900
—
FL
05
—
869827862A
—
GA
Enumeration date
06/11/2006
Last updated
01/17/2023
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