Organization
PACE CENTER FOR GIRLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA GALLAGHER (CEO)
(904) 421-8585
Entity
Organization
Contact information
Practice address
1 W ADAMS ST, SUITE 301, JACKSONVILLE, FL 32202-3645
(904) 421-8585
(904) 421-8599
Mailing address
1 W ADAMS ST, SUITE 301, JACKSONVILLE, FL 32202-3645
(904) 421-8585
(904) 421-8599
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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