Organization
VETERANS HEALTH CARE SYSTEMS NORTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH KELVIN PUGH RPSGT (MIT WORK LEADER/MEDICAL SERVICES)
(904) 866-6914
Entity
Organization
Contact information
Practice address
1015 ONTARIO ST, JACKSONVILLE, FL 32254-2073
(904) 866-6914
Mailing address
1015 ONTARIO ST, JACKSONVILLE, FL 32254-2073
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
5281
NY
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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