Organization
WEST JAX GERIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VICTOR SHARPE M.D. (MEMBER)
(904) 783-9428
Entity
Organization
Contact information
Practice address
730 COLLEGE ST, JACKSONVILLE, FL 32204-3313
(904) 783-9428
(904) 786-4981
Mailing address
100 CYPRESS LAGOON CT, PONTE VEDRA BEACH, FL 32082-2106
(904) 783-9428
(904) 786-4981
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
ME51340
FL
Other
Enumeration date
03/10/2016
Last updated
03/11/2016
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