Organization
THE CHESAPEAKE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE PATRICK RILEY CRNA (NURSE ANESTHETIST)
(904) 542-7632
Entity
Organization
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7632
(904) 542-7623
Mailing address
2327 YELLOW JASMINE LN, ORANGE PARK, FL 32003-3370
(904) 269-6226
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
ARNP9230669
FL
Other
Enumeration date
01/29/2006
Last updated
08/22/2020
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