Organization
PATHWAY HEALTHCARE FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL SPENCER (BUSINESS OFFICE MANAGER)
(731) 265-6025
Entity
Organization
Contact information
Practice address
9141 CYPRESS GREEN DR STE 2, JACKSONVILLE, FL 32256-2006
(844) 728-4929
Mailing address
9141 CYPRESS GREEN DR STE 2, JACKSONVILLE, FL 32256-2006
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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