Organization
JACKSONVILLE CONCIERGE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE MIKALS MD (OWNER)
(904) 925-1951
Entity
Organization
Contact information
Practice address
7643 GATE PKWY STE 104-909, JACKSONVILLE, FL 32256-3092
(904) 925-8540
Mailing address
7643 GATE PKWY STE 104-909, JACKSONVILLE, FL 32256-3092
(904) 925-1951
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
08/26/2025
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