| Hyde Park Medical Arts Inc | |
|
6671 Hyde Grove Ave Jacksonville FL 32210-2839 | |
| (904) 783-3700 | |
| (904) 695-2579 |
| Full Name | Hyde Park Medical Arts Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6671 Hyde Grove Ave, Jacksonville, Florida |
| Authorized Official Name and Position | Rebecca Jane Haynes (OFFICE MANAGER) |
| Authorized Official Contact | 9047833700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyde Park Medical Arts Inc 6671 Hyde Grove Ave Jacksonville FL 32210-2839 Ph: (904) 783-3700 | Hyde Park Medical Arts Inc 6671 Hyde Grove Ave Jacksonville FL 32210-2839 Ph: (904) 783-3700 |
| NPI Number | 1235286527 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 12/17/2012 |
| Medicare PECOS PAC ID | 9931092004 |
|---|---|
| Medicare Enrollment ID | O20040203000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235286527 | NPI | - | NPPES |
| 264729000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | OS7282 (Florida) | Primary |
| Provider Name | Robert Georges Lamounette |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942301700 PECOS PAC ID: 5698668770 Enrollment ID: I20100916000239 |
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