Organization
ATLANTIC FAMILY MEDICAL CENTER OF JACKSONVILLE PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM I SCHWARTZ D.O. (MEDICAL DIRECTOR)
(904) 221-2222
Entity
Organization
Contact information
Practice address
13155 ATLANTIC BLVD, JACKSONVILLE, FL 32225-3125
(904) 221-2222
(904) 221-2024
Mailing address
13155 ATLANTIC BLVD, JACKSONVILLE, FL 32225-3125
(904) 221-2222
(904) 221-2024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45512
BLUE CROSS GROUP NUMBER
FL
Enumeration date
09/20/2006
Last updated
04/20/2008
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