Organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
Active
Parent organization
SHANDS JACKSONVILLE MEDICAL CENTER, INC.
Other names
Laboratory for Transplantation and Cellular Immunology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHANDS JACKSONVILLE MEDICAL CENTER, INC.
Authorized official
MR. MICHAEL E GLEASON (VP OF FINANCE AND TREASURER)
(904) 244-8675
Entity
Organization
Contact information
Practice address
655 W 8TH ST, 1ST FLOOR PAVILION NORTH, 1900 BOULEVARD ST., JACKSONVILLE, FL 32209-6511
(904) 244-9875
(904) 244-9861
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-9875
(904) 244-9861
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800001707
FL
Other
Enumeration date
10/20/2006
Last updated
07/22/2024
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