Organization
NORTH FLORIDA CHEST PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MENTZ MD (PHYSICIAN)
(904) 354-8200
Entity
Organization
Contact information
Practice address
425 N LEE ST, 203, JACKSONVILLE, FL 32204-1127
(904) 354-8200
(904) 354-1340
Mailing address
425 N LEE ST, 203, JACKSONVILLE, FL 32204-1127
(904) 354-8200
(904) 354-1340
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0900158001
CIGNA
FL
01
—
2059879
AETNA
FL
05
—
371841700
—
FL
01
—
39556
BCBS OF FLORIDA
FL
Enumeration date
06/20/2006
Last updated
07/08/2011
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