Organization
CLAY INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BRUCE CHESLER M.D. (PRESIDENT)
(904) 541-1780
Entity
Organization
Contact information
Practice address
1406 KINGSLEY AVE STE D, ORANGE PARK, FL 32073-4528
(904) 541-1780
(904) 541-1785
Mailing address
1406 KINGSLEY AVE, SUITE D, ORANGE PARK, FL 32073-4590
(904) 541-1780
(904) 541-1785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0053362
FL
Other
Enumeration date
02/01/2007
Last updated
06/25/2012
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