Organization
PULMONARY AND CRITICAL CARE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI-LYNNE GLOGER (COO)
(904) 366-3738
Entity
Organization
Contact information
Practice address
5210 BELFORT RD, SUITE 130, JACKSONVILLE, FL 32256-6024
(904) 281-7600
(904) 281-7601
Mailing address
425 N LEE ST, SUITE 202 A, JACKSONVILLE, FL 32204-1127
(904) 366-3738
(904) 354-3571
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
12/10/2006
Last updated
04/07/2008
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