Organization · NPI-2

30 Minute Medical Primary Care

Internal Medicine · Jacksonville, FL

NPI number1942515804
StatusActive
Last updated in NPPESAug 25, 2010

Details

NPI
1942515804
Entity type
Organization (NPI-2)
Legal business name
30 Minute Medical Primary Care
Organization subpart
Yes
Enumeration date
Aug 16, 2010
Last updated
Aug 25, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME96271FLYes

Other names

  • 30 Min. Medical, LLC (Doing Business As)

Practice location

8540 Argyle Forest Blvd
Suite 6
Jacksonville, FL 32244-6702

Phone 904-777-1650 · Fax 904-777-1665

Mailing address

8540 Argyle Forest Blvd.
Suite 6
Jacksonville, FL 32244-6314

Phone 904-777-1650 · Fax 904-777-1665

Authorized official

Biagio V Vultaggio
Chief Executive Officer
9047771650

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