Organization
PHYSICIANS RESOURCE NETWORK OF JACKSONVILLE, INC.
Active
Other names
Physicians Resource Network
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA CARIDAD EDWARDS (PRESIDENT)
(904) 731-7880
Entity
Organization
Contact information
Practice address
6005 POWERS AVE STE 105, JACKSONVILLE, FL 32217-2280
(904) 731-7880
(904) 731-7881
Mailing address
6005 POWERS AVE STE 105, JACKSONVILLE, FL 32217-2280
(904) 731-7880
(904) 731-7881
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1927
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7817417
AETNA
FL
01
—
M2543
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
05/01/2007
Last updated
08/22/2020
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