Organization
CAMDEN ELITE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA TOYA DAWSON (BILLING DIRECTOR)
(352) 231-7551
Entity
Organization
Contact information
Practice address
10257 MAGNOLIA RIDGE DR, JACKSONVILLE, FL 32210-4991
(904) 528-6357
Mailing address
10257 MAGNOLIA RIDGE DR, JACKSONVILLE, FL 32210-4991
(904) 528-6357
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/11/2020
Last updated
09/12/2020
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