Organization
QUALITY PRIMARY CARE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS DODARO M.D. (PRESIDENT)
(904) 854-7911
Entity
Organization
Contact information
Practice address
11048 BAYMEADOWS RD, STE 9, JACKSONVILLE, FL 32256-9699
(904) 854-7911
(904) 854-7912
Mailing address
11048-9 BAYMEADOWS ROAD, JACKSONVILLE, FL 32256
(904) 854-7911
(904) 854-7912
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
P10000084848
FL
Other
Enumeration date
06/15/2011
Last updated
06/23/2011
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