Organization
FSCZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI R CHALHOUB M.D. (MD)
(904) 388-3351
Entity
Organization
Contact information
Practice address
2436 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2002
(904) 388-3351
Mailing address
2436 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME82883
FL
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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