Organization
JACKSONVILLE IMPOTENCE TREATMENT CENTER
Active
Other names
JITC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER JAMES MILLER JR. M.D. (PRESIDENT., JITC)
(904) 880-1366
Entity
Organization
Contact information
Practice address
2950 HALCYON LANE, SUITE706, JACKSONVILLE, FL 32223
(904) 880-1366
(904) 880-8038
Mailing address
2950 HALCYON LANE, SUITE706, JACKSONVILLE, FL 32223
(904) 880-1366
(904) 880-8038
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME0053960
FL
Other
Enumeration date
06/27/2006
Last updated
03/31/2008
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