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5739 Abelia Rd Jacksonville FL 32209-2420 | |
| (904) 866-2248 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5739 Abelia Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Terry D Gartrell (PRESIDENT) |
| Authorized Official Contact | 9043108222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1100 Kings Rd Unit 43402 Jacksonville FL 32203-7739 Ph: (904) 310-8222 | 5739 Abelia Rd Jacksonville FL 32209-2420 Ph: (904) 866-2248 |
| NPI Number | 1508342296 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 07/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508342296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11338 (Florida) | Primary |
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