| Finca De San Juan, Llc | |
|
1370 13th Ave S Ste 218 Jax Bch FL 32250-3206 | |
| (904) 853-6154 | |
| (877) 543-5924 |
| Full Name | Finca De San Juan, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1370 13th Ave S Ste 218, Jax Bch, Florida |
| Authorized Official Name and Position | Ronda Crews (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9048536154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Finca De San Juan, Llc 1370 13th Ave S Ste 218 Jax Bch FL 32250-3206 Ph: (904) 853-6154 | Finca De San Juan, Llc 1370 13th Ave S Ste 218 Jax Bch FL 32250-3206 Ph: (904) 853-6154 |
| NPI Number | 1215718002 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215718002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |