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Organization

JAX'S FAMILY CARE AND RESEARCH CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAIRO ANTONIO DE LA HOZ JR. BBA (ADMINISTRATOR)
(904) 425-6963
Entity
Organization

Contact information

Practice address
5233 RICKER RD STE 101, SUITE 101, JACKSONVILLE, FL 32224-1148
(904) 425-6963
Mailing address
5233 RICKER RD STE 101, SUITE 101, JACKSONVILLE, FL 32224-1148

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME70797
FL

Other

Enumeration date
11/23/2007
Last updated
11/19/2008
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