| Medex Clinic | |
|
865 Cassat Ave Jacksonville FL 32205-4856 | |
| (904) 388-3229 | |
| (904) 388-8611 |
| Full Name | Medex Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 865 Cassat Ave, Jacksonville, Florida |
| Authorized Official Name and Position | Asim Nouman (PRESIDENT-MGRM) |
| Authorized Official Contact | 9043883229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medex Clinic 1395 Cassat Ave Ste 3 Jacksonville FL 32205-9615 Ph: (904) 388-3229 | Medex Clinic 865 Cassat Ave Jacksonville FL 32205-4856 Ph: (904) 388-3229 |
| NPI Number | 1750537445 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 08/25/2014 |
| Medicare PECOS PAC ID | 0648348276 |
|---|---|
| Medicare Enrollment ID | O20081008000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750537445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME100337 (Florida) | Primary |
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