Organization
PERRY JC MD PA
Active
Organization
PERRY JC MD PA
Active
Other names
THE COLE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY J COLE MD (OWNER)
(904) 733-0099
Entity
Organization
Contact information
Practice address
7999 PHILIPS HWY, STE 302, JACKSONVILLE, FL 32256-4443
(904) 733-0099
(904) 733-0070
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
(904) 824-4990
(904) 824-2226
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME83999
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014P
BCBS
FL
05
—
002608400
—
FL
01
—
614424600
OWCP - FECA
FL
01
—
7511404
AETNA
FL
Enumeration date
05/29/2009
Last updated
05/27/2011
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