Organization
PALM LIFE MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESAU LAURENCIN MD (PRESIDENT)
(407) 637-7203
Entity
Organization
Contact information
Practice address
12494 ACOSTA OAKS DRIVE, JACKSONVILLE, FL 32258
(407) 637-7203
(407) 637-7203
Mailing address
12494 ACOSTA OAKS DRIVE, JACKSONVILLE, FL 32258
(407) 637-7203
(407) 637-7203
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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