Organization
LTR MEDICAL MANAGEMENT GROUP INC
Active
Other names
First Coast Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L STEPHENS (OFFICE MANAGER)
(904) 727-7733
Entity
Organization
Contact information
Practice address
3101 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-2750
(904) 727-7733
(904) 727-7737
Mailing address
PO BOX 55065, JACKSONVILLE, FL 32216-0065
(904) 727-7733
(904) 727-7737
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
08/22/2020
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