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Organization

CRITICAL CARE OF N JACKSONVILLE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EVA V JACKLER (TREASURER)
(904) 739-6666
Entity
Organization

Contact information

Practice address
3550 UNIVERSITY BLVD S, SUITE 207, JACKSONVILLE, FL 32216-4246
(904) 739-6666
(904) 739-1009
Mailing address
PO BOX 56917, JACKSONVILLE, FL 32241-6917
(904) 739-6666
(904) 739-1009

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38709
BCBSFL
FL
Enumeration date
07/06/2006
Last updated
08/22/2020
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