Organization
JAX'S FAMILY CARE AND RESEARCH CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIRO ANTONIO DELAHOZ JR. (MANAGER)
(904) 800-2332
Entity
Organization
Contact information
Practice address
5233 RICKER RD STE 101, JACKSONVILLE, FL 32210
(904) 800-2332
(904) 634-7892
Mailing address
5233 RICKER RD STE 101, JACKSONVILLE, FL 32210-1439
(904) 800-2332
(904) 634-7892
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME70797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251739600
—
FL
Enumeration date
03/12/2008
Last updated
07/11/2018
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