Organization
RTA HEALTH CARE
Active
Other names
Injury Care Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIANA MCCLERREN (ADMINISTRATOR)
(904) 994-4833
Entity
Organization
Contact information
Practice address
5222 LENOX AVE, JACKSONVILLE, FL 32205-4838
(904) 783-0008
Mailing address
PO BOX 49307, JACKSONVILLE BEACH, FL 32240-9307
(904) 994-4833
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207P00000X
Emergency Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
1477830453
FL
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
11/04/2011
Last updated
04/16/2013
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