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Organization
SUGAR DOCTORS LLC
Active
Organization
SUGAR DOCTORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A PURCELL MD (MANAGER)
(904) 514-6331
Entity
Organization
Contact information
Practice address
8613 OLD KINGS RD S STE 301, JACKSONVILLE, FL 32217-4845
(904) 280-6650
Mailing address
PO BOX 347, ST AUGUSTINE, FL 32085-0347
(904) 280-6650
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
07/28/2022
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