Organization
CORPORATE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN COLEMAN (CREDENTIALING SPECIALIST)
(904) 202-5379
Entity
Organization
Contact information
Practice address
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2460
(904) 202-5379
(904) 391-5077
Mailing address
3563 PHILIPS HWY STE 106A, JACKSONVILLE, FL 32207-5663
(904) 202-5379
(904) 391-5077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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