Organization
MEDEX CLINIC, LLC
Active
Other names
Medex Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASIM NOUMAN M.D (PRESIDENT-MGRM)
(904) 388-3229
Entity
Organization
Contact information
Practice address
865 CASSAT AVE, JACKSONVILLE, FL 32205-4856
(904) 388-3229
(904) 388-8611
Mailing address
1395 CASSAT AVE STE 3, JACKSONVILLE, FL 32205-9615
(904) 388-3229
(904) 207-7321
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME100337
FL
Other
Enumeration date
08/13/2008
Last updated
08/25/2014
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