Organization
FIRST COAST PHYSICAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET L. STEPHENS (OFFICE MANAGER)
(904) 727-7733
Entity
Organization
Contact information
Practice address
3100 UNIVERSITY BLVD. S., SUITE 320, JACKSONVILLE, FL 32216-2790
(904) 727-7733
(904) 727-7737
Mailing address
P. O. BOX 55065, JACKSONVILLE, FL 32216-2790
(904) 727-7733
(904) 727-7737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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