Organization
MATTHEW 725 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN THEODORE MOUGEOT PHARMD (PRESIDENT/OWNER/DIRECTOR)
(904) 860-4948
Entity
Organization
Contact information
Practice address
2683 SAINT JOHNS BLUFF RD S STE 135, JACKSONVILLE, FL 32246-3765
(904) 513-4075
Mailing address
2683 SAINT JOHNS BLUFF RD S STE 135, JACKSONVILLE, FL 32246-3765
(904) 513-4075
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH31462
FL
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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