Organization
MAYO CLINIC JACKSONVILLE
Active
Organization
MAYO CLINIC JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE RIGDON (CHIEF FINANCIAL OFFICER)
(904) 953-0577
Entity
Organization
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-1768
(904) 953-1768
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-7355
(904) 953-1768
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064350500
—
FL
05
—
064350501
—
FL
05
—
064350503
—
FL
Enumeration date
09/29/2005
Last updated
04/15/2026
Update your record
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