Organization
BRIDGE 4 HEALTHCARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DISTEFANO (BOARD MEMBER)
(352) 317-3214
Entity
Organization
Contact information
Practice address
3636 UNIVERSITY BLVD S STE A7, JACKSONVILLE, FL 32216-4210
(888) 509-0932
Mailing address
11712 PLEASANT CREEK DR, JACKSONVILLE, FL 32218-7566
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
05/09/2024
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