Organization
SULZBACHER HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KELLOGE ROBINSON M.D. (MEDICAL DIRECTOR)
(904) 394-8069
Entity
Organization
Contact information
Practice address
611 E ADAMS ST, JACKSONVILLE, FL 32202-2847
(904) 394-8069
(904) 353-7345
Mailing address
611 E ADAMS ST, JACKSONVILLE, FL 32202-2847
(904) 394-8069
(904) 353-7345
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
ARNP1071492
FL
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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