Organization
FIRST COAST COMMUNITY DEVELOPMENT
Active
Organization
FIRST COAST COMMUNITY DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE GRIFFIN (PRESIDENT)
(904) 866-7483
Entity
Organization
Contact information
Practice address
525 N NEWNAN ST, JACKSONVILLE, FL 32202-3121
(904) 379-8383
(904) 358-5618
Mailing address
4368 BOAT CLUB DR, JACKSONVILLE, FL 32277-1202
(904) 379-8383
(904) 358-5618
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118738500
—
FL
Enumeration date
06/01/2023
Last updated
06/11/2025
Update your record
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