| Cogent Healthcare Of Jacksonville, Llc | |
|
400 Health Park Blvd St Augustine FL 32086-5784 | |
| (904) 819-5155 | |
| Not Available |
| Full Name | Cogent Healthcare Of Jacksonville, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Health Park Blvd, St Augustine, Florida |
| Authorized Official Name and Position | Melissa Harlan (DIRECTOR) |
| Authorized Official Contact | 6155776340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogent Healthcare Of Jacksonville, Llc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 577-6340 | Cogent Healthcare Of Jacksonville, Llc 400 Health Park Blvd St Augustine FL 32086-5784 Ph: (904) 819-5155 |
| NPI Number | 1356924526 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 05/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356924526 | NPI | - | NPPES |
| 001651555 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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