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1709 Helena St Jacksonville FL 32208-3692 | |
| (561) 358-2049 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 1709 Helena St, Jacksonville, Florida |
| Authorized Official Name and Position | Vernell King (EX DIR/PROVOST/COUNSELOR) |
| Authorized Official Contact | 5613582049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2785 Jacksonville FL 32203-2785 Ph: (561) 358-2049 | 1709 Helena St Jacksonville FL 32208-3692 Ph: (561) 358-2049 |
| NPI Number | 1942796347 |
|---|---|
| Provider Enumeration Date | 07/09/2018 |
| Last Update Date | 07/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942796347 | NPI | - | NPPES |
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