Organization
NAVAL HOSPITAL JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL BONO (CO)
(904) 542-7787
Entity
Organization
Contact information
Practice address
NAVAL HOSPITAL JACKSONVILLE, JACKSONVILLE, FL 32099
(904) 542-7787
Mailing address
3220 E 9TH ST, LYNN HAVEN, FL 32444-3236
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34006688
OH
Other
Enumeration date
07/27/2006
Last updated
06/23/2008
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