Organization
JACKSONVILLE ANESTHESIA CORPORATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LYNN DIXON M.D. (PRESIDENT)
(904) 238-4147
Entity
Organization
Contact information
Practice address
1350 13TH AVE S, JACKSONVILLE, FL 32250-3203
(855) 496-3578
(855) 371-8490
Mailing address
PO BOX 160489, MIAMI, FL 33116-0489
(855) 496-3578
(855) 371-8490
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268268100
—
FL
Enumeration date
05/19/2006
Last updated
02/02/2017
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