Organization
ANAVA EMERGENCY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT P BARKER MD (PRESIDENT)
(727) 515-3119
Entity
Organization
Contact information
Practice address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-3151
Mailing address
1640 ABERDEEN ST, JACKSONVILLE, FL 32205-8636
(727) 515-3119
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/17/2023
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