Organization
MAYO CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID THIEL (DEPARTMENT CHAIR)
(904) 953-7330
Entity
Organization
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-7330
Mailing address
4500 SAN PABLO RD., JACKSONVILLE, FL 32224
(904) 953-7330
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
PA 3550
FL
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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