| First Coast Primary Care Inc | |
|
4040 Woodcock Dr Suite 250 Jacksonville FL 32207-2720 | |
| (904) 400-6103 | |
| (904) 400-6102 |
| Full Name | First Coast Primary Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4040 Woodcock Dr, Jacksonville, Florida |
| Authorized Official Name and Position | Linda E Gooden (ADMINISTRATION MANAGER) |
| Authorized Official Contact | 9044006100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Coast Primary Care Inc Po Box 61148 Jacksonville FL 32236-1148 Ph: (904) 400-6100 | First Coast Primary Care Inc 4040 Woodcock Dr Suite 250 Jacksonville FL 32207-2720 Ph: (904) 400-6103 |
| NPI Number | 1528197993 |
|---|---|
| Provider Enumeration Date | 03/03/2007 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528197993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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