| Hospital Specialists | |
|
3659 Eastbury Dr Jacksonville FL 32224-1659 | |
| (904) 599-3225 | |
| (904) 821-8050 |
| Full Name | Hospital Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 3659 Eastbury Dr, Jacksonville, Florida |
| Authorized Official Name and Position | Ateeque R Khan (OWNER) |
| Authorized Official Contact | 9045993225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Specialists 3659 Eastbury Dr Jacksonville FL 32224-1659 | Hospital Specialists 3659 Eastbury Dr Jacksonville FL 32224-1659 Ph: (904) 599-3225 |
| NPI Number | 1457982977 |
|---|---|
| Provider Enumeration Date | 02/03/2020 |
| Last Update Date | 02/03/2020 |
| Certification Date | 02/03/2020 |
| Medicare PECOS PAC ID | 8820428717 |
|---|---|
| Medicare Enrollment ID | O20200416001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457982977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Ateeque R Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487689808 PECOS PAC ID: 3274563705 Enrollment ID: I20080905000277 |
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