Organization
JACKSONVILLE EMERGENCY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY FREDERICK YATES MD (PRESIDENT)
(318) 256-0724
Entity
Organization
Contact information
Practice address
1400 BRADEN ST, JACKSONVILLE, AR 72076-3721
(501) 985-7000
Mailing address
PO BOX 11457, DAYTONA BEACH, FL 32120-1457
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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