Organization
MCIVER UROLOGICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WHITTAKER MD (PRESIDENT)
(904) 355-6583
Entity
Organization
Contact information
Practice address
710 LOMAX ST, JACKSONVILLE, FL 32204-4004
(904) 355-6583
(904) 355-4922
Mailing address
710 LOMAX ST, JACKSONVILLE, FL 32204-4004
(904) 355-6583
(904) 355-4922
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/20/2006
Last updated
08/22/2020
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