Organization
RIVER REGION HUMAN SERVICES INC
Active
Other names
River Region Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DISTEFANO (CLINIC CONSULTANT)
(352) 317-3214
Entity
Organization
Contact information
Practice address
3901 CARMICHAEL AVE, JACKSONVILLE, FL 32207-2325
(904) 899-6300
Mailing address
3901 CARMICHAEL AVE, JACKSONVILLE, FL 32207-2325
(904) 899-6300
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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