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Organization

BEACHES UROLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN WILLIAMS (MD)
(904) 421-2119
Entity
Organization

Contact information

Practice address
1370 13TH AVE S, JACKSONVILLE, FL 32250-3230
(904) 421-2119
Mailing address
3791 CRICKET COVE RD E, JACKSONVILLE, FL 32224-8401

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
10/15/2010
Last updated
10/15/2010
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