Organization
BEST LEAF LLC
Active
Other names
Providence Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAKAYA LINNE JONES MD (MANAGER/OWNER)
(904) 476-0966
Entity
Organization
Contact information
Practice address
9765 SAN JOSE BLVD STE 103, JACKSONVILLE, FL 32257-5467
(904) 476-0966
Mailing address
PO BOX 2585, JACKSONVILLE, FL 32203-2585
(904) 476-0966
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
07/26/2022
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