Organization
FIRST COAST MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL JEAN STRICKLAND (VICE PRESIDENT)
(904) 276-7696
Entity
Organization
Contact information
Practice address
868 BLANDING BLVD, STE 103, ORANGE PARK, FL 32065-8942
(904) 276-7696
(904) 276-5243
Mailing address
868 BLANDING BLVD, STE 103, ORANGE PARK, FL 32065-8942
(904) 276-7696
(904) 276-5243
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R8057
BC/BS OF FL
FL
Enumeration date
08/23/2005
Last updated
08/22/2020
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