Organization
EAGLE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE KELLY (OWNER)
(904) 673-7711
Entity
Organization
Contact information
Practice address
13245 ATLANTIC BLVD, SUITE 4-373, JACKSONVILLE, FL 32225-7121
(904) 673-7711
(772) 382-0258
Mailing address
13245 ATLANTIC BLVD, SUITE 4-373, JACKSONVILLE, FL 32225-7121
(904) 673-7711
(772) 382-0258
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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