Organization
FIRST COAST MENTAL HEALTH P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY D TAYLOR (OFFICE MANAGER)
(904) 269-7200
Entity
Organization
Contact information
Practice address
1409 KINGSLEY AVE STE 8, ORANGE PARK, FL 32073-4553
(904) 269-7200
(904) 269-0070
Mailing address
1409 KINGSLEY AVE STE 8, ORANGE PARK, FL 32073-4553
(904) 269-7200
(904) 269-0070
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME100502
FL
Other
Enumeration date
09/23/2008
Last updated
10/19/2022
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