Organization
JBRC MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HALL (DIRECTOR OF BILLING)
(772) 261-3422
Entity
Organization
Contact information
Practice address
1802 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-7234
(772) 252-1235
(772) 252-1236
Mailing address
1802 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-7234
(772) 252-1235
(772) 252-1236
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AP 1330
FL
174400000X
Specialist
Primary
MA 55754
FL
2084P0802X
Addiction Psychiatry Physician
ME61588
FL
363AM0700X
Medical Physician Assistant
PA9104027
FL
Other
Enumeration date
01/23/2013
Last updated
12/27/2019
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