Organization
FLORIDA PHYSICIAN SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL D TERK M.D. (MEDICAL DOCTOR)
(904) 309-8680
Entity
Organization
Contact information
Practice address
836 PRUDENTIAL DRIVE, SUITE 1606, JACKSONVILLE, FL 32207-8343
(904) 396-3700
(904) 398-3871
Mailing address
836 PRUDENTIAL DRIVE, SUITE 1606, JACKSONVILLE, FL 32207-8343
(904) 396-3700
(904) 398-3871
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME38972
FL
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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