Organization
FIRST COAST MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA WHEELER (OFFICE MANAGER)
(904) 723-5665
Entity
Organization
Contact information
Practice address
4211 N PEARL ST, JACKSONVILLE, FL 32206-6411
(904) 358-8692
(904) 354-6908
Mailing address
PO BOX 17809, JACKSONVILLE, FL 32245-7809
(904) 723-0015
(904) 338-0951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
02/07/2014
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