Organization
AMELIA EXPRESS CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB T LOGSDON PA (MANAGER)
(904) 624-7003
Entity
Organization
Contact information
Practice address
1987 S 8TH ST, FERNANDINA BEACH, FL 32034-3071
(904) 624-7003
(904) 212-1284
Mailing address
1987 S 8TH ST, FERNANDINA BEACH, FL 32034-3071
(904) 624-7003
(904) 212-1284
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OS10149
FL
Other
Enumeration date
09/03/2014
Last updated
06/15/2015
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