Superior Physical Medicine LLC
Internal Medicine in Jacksonville, FL. Organization (NPI-2).
NPI number1174863989
StatusActive
Last updated in NPPESJun 7, 2013
Details
- NPI
- 1174863989
- Entity type
- Organization (NPI-2)
- Legal business name
- Superior Physical Medicine LLC
- Organization subpart
- No
- Enumeration date
- Feb 15, 2013
- Last updated
- Jun 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
8773 Perimeter Park CtJacksonville, FL 32216-1165
Phone 904-724-5433 · Fax 904-724-9671
Mailing address
8773 Perimeter Park CtJacksonville, FL 32216-1165
Phone 904-724-5433 · Fax 904-724-9671
Authorized official
Burton Aaron Pierce
Owner
9047245433
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