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Organization

JULINGTON CREEK PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA ANN BENEDICT (BILLING MANAGER)
(904) 230-5437
Entity
Organization

Contact information

Practice address
774 STATE ROAD 13 STE 6, JACKSONVILLE, FL 32259-3815
(904) 230-5437
Mailing address
774 STATE ROAD 13 STE 6, JACKSONVILLE, FL 32259-3815
(904) 230-5437

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
NE74170
FL

Other

Enumeration date
03/11/2015
Last updated
03/11/2015
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