Organization
NAVAL HOSPITAL JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE MARIE PERELLO DO (STAFF PHYSICIAN)
(904) 542-7911
Entity
Organization
Contact information
Practice address
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE- INTERNAL MEDICINE CLINIC, JACKSONVILLE, FL 32214-5005
(904) 542-7910
Mailing address
1754 RUSTLING DR, ORANGE PARK, FL 32003-8634
(904) 215-9149
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
20A 7245
CA
Other
Enumeration date
03/14/2006
Last updated
08/13/2008
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