Organization
COGENT HEALTHCARE OF JACKSONVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FALL (MANAGER)
(253) 682-6040
Entity
Organization
Contact information
Practice address
10501 ROOSEVELT BLVD N, ST PETERSBURG, FL 33716-3816
(727) 577-3800
Mailing address
5410 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-5339
(615) 577-6340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
03/07/2025
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