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Organization

FAMILIES FIRST MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TRACEE HOLZENDORF RN, MSN (ADMINISTRATOR)
(904) 608-0095
Entity
Organization

Contact information

Practice address
11555 CENTRAL PKWY STE 402, JACKSONVILLE, FL 32224-2695
(904) 747-3800
Mailing address
8246 RIDING CLUB RD E, JACKSONVILLE, FL 32256-7266
(904) 707-6042

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/27/2020
Last updated
12/17/2021
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