Individual
MICHAEL PHOENIX MCFARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
898 ENTERPRISE ST UNIT A, JACKSONVILLE, FL 32227-1202
(208) 699-6005
Mailing address
898 ENTERPRISE ST UNIT A, JACKSONVILLE, FL 32227-1202
(208) 699-6005
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
05/11/2016
Last updated
09/11/2020
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