Organization
MEDICAL PARTNERS OF JACKSONVILLE LLC
Active
Organization
MEDICAL PARTNERS OF JACKSONVILLE LLC
Active
Other names
Spine and Joint Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
HEMANT SHAH MD (CEO)
(904) 830-4083
Entity
Organization
Contact information
Practice address
1564 KINGSLEY AVE, ORANGE PARK, FL 32073-4511
(904) 830-4083
Mailing address
1564 KINGSLEY AVE, ORANGE PARK, FL 32073-4511
(904) 830-4083
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME95262
FL
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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