Organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
Active
Other names
Shands Jacksonville TB Medicaid
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN COCCHI (CHIEF FINANCIAL OFFICER)
(904) 244-5013
Entity
Organization
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6596
(904) 244-1888
(904) 244-1957
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6596
(904) 244-5013
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010067608
—
FL
Enumeration date
03/25/2024
Last updated
03/25/2024
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