Organization
FAIR AND BALANCED, LLC
Active
Other names
Nirog Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
OM KAPOOR (DIRECTOR)
(904) 312-9201
Entity
Organization
Contact information
Practice address
4131 UNIVERSITY BLVD S STE 3, JACKSONVILLE, FL 32216-4346
(904) 312-9201
(904) 312-9202
Mailing address
4131 UNIVERSITY BLVD S STE 3, JACKSONVILLE, FL 32216-4346
(904) 312-9201
(904) 312-9202
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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