Organization
JACKSONVILLE DENTAL AND MEDICAL TEMP AGENCY
Active
Other names
jax dental and medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA JEAN JONES (PRESIDENT)
(904) 803-0617
Entity
Organization
Contact information
Practice address
421 LABARRE CT, SAINT JOHNS, FL 32259-4024
(904) 803-0617
Mailing address
12276 SAN JOSE BLVD, BUILDING 500 SUITE 518, JACKSONVILLE, FL 32223-8628
(904) 268-9988
(904) 268-9922
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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