Organization
JACKSONVILLE EP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEELYN MARLATT (DIRECTOR OF REVENUE CYCLE)
(713) 660-0557
Entity
Organization
Contact information
Practice address
12625 BEACH BLVD, JACKSONVILLE, FL 32246
(713) 660-0557
Mailing address
6030 S RICE AVE STE C, HOUSTON, TX 77081-2944
(713) 660-0557
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/27/2026
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