Corporate Health LLC
Family Medicine in Jacksonville, FL. Organization (NPI-2).
NPI number1154886331
StatusActive
Last updated in NPPESFeb 1, 2019
Details
- NPI
- 1154886331
- Entity type
- Organization (NPI-2)
- Legal business name
- Corporate Health LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2019
- Last updated
- Feb 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
800 Prudential DrJacksonville, FL 32207-8202
Phone 904-202-5379 · Fax 904-391-5077
Mailing address
3563 Philips Hwy Ste 106aJacksonville, FL 32207-5663
Phone 904-202-5379 · Fax 904-391-5077
Authorized official
Karen Coleman
Director
9042025379
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