Organization
DE URGENT CARE JAX PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY HOLMES M.D. (PRESIDENT)
(904) 881-7754
Entity
Organization
Contact information
Practice address
13457 ATLANTIC BLVD, SUITE 5, JACKSONVILLE, FL 32225-3293
(904) 221-9110
Mailing address
13457 ATLANTIC BLVD, SUITE 5, JACKSONVILLE, FL 32225-3293
(904) 221-9110
(904) 220-9110
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC9323
AHCA
FL
Enumeration date
06/08/2010
Last updated
10/17/2012
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