Organization
FIRST COAST MEDICAL NETWORK LLC
Active
Parent organization
FIRST COAST MEDICAL NETWORK, LLC
Other names
Foot Pain Doctors of Jacksonville
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST COAST MEDICAL NETWORK, LLC
Authorized official
MS. BRENDA CAROL COLEY-GROBES (PRESIDENT)
(302) 373-3435
Entity
Organization
Contact information
Practice address
1532 KINGSLEY AVE STE 106, ORANGE PARK, FL 32073-4536
(904) 329-1391
(904) 580-5835
Mailing address
1687 MAJESTIC VIEW LN, FLEMING ISLAND, FL 32003-3223
(904) 329-1391
(904) 580-5835
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
L18000131637
FL
213E00000X
Podiatrist
—
—
Other
Enumeration date
05/31/2018
Last updated
09/04/2024
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