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Organization

FIRST COAST PRIMARY CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA E GOODEN (ADMINISTRATION MANAGER)
(904) 400-6100
Entity
Organization

Contact information

Practice address
4040 WOODCOCK DR, SUITE 250, JACKSONVILLE, FL 32207-2720
(904) 400-6103
(904) 400-6102
Mailing address
PO BOX 61148, JACKSONVILLE, FL 32236-1148
(904) 400-6100
(904) 400-6102

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/03/2007
Last updated
09/28/2011
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