Organization
CAREMAX CLINIC 711 LLC
Active
Other names
ValueCare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL B MAMTORA (DIRECTOR)
(904) 289-1254
Entity
Organization
Contact information
Practice address
2732 TROLLIE LN, JACKSONVILLE, FL 32211-3833
(904) 289-1254
(904) 212-0036
Mailing address
PO BOX 600365, JACKSONVILLE, FL 32260-0365
(904) 289-1254
(904) 202-0036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
09/10/2018
Last updated
12/15/2025
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