Organization
ALLIANCE PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ERIKSEN (DIRECTOR)
(904) 746-4664
Entity
Organization
Contact information
Practice address
855 SAINT JOHNS BLUFF RD N, SKY HARBOR, UNIT 703, JACKSONVILLE, FL 32225-7309
(800) 991-6508
Mailing address
855 SAINT JOHNS BLUFF RD N, SKY HARBOR, UNIT 703, JACKSONVILLE, FL 32225-7309
(800) 991-6508
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
FL
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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