Organization
JACKSONVILLE WOLFSON CHILDRENS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE GAETA-BARJE PT (REHAB SUPERVISOR)
(904) 292-1808
Entity
Organization
Contact information
Practice address
14785 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2496
(904) 346-0394
Mailing address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8000
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
SLP006732
GA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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