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Organization

FLORIDA GASTROENTEROLOGY CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE HAGE-NASSAR MD (MD)
(904) 619-5225
Entity
Organization

Contact information

Practice address
3599 UNIVERSITY BLVD S, SAMUEL WELLS COMPLEX SUITE 8, JACKSONVILLE, FL 32216
(917) 664-9972
Mailing address
7917 ABINGTON HILLS LN, JACKSONVILLE, FL 32256-3428
(904) 619-5225

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME105540
FL

Other

Enumeration date
06/24/2010
Last updated
07/01/2010
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