| Mount Gilead | |
|
6817 Southpoint Pkwy Suite 304 Jacksonville FL 32216-6282 | |
| (904) 296-3113 | |
| (904) 296-3144 |
| Full Name | Mount Gilead |
|---|---|
| Speciality | Clinic/center |
| Location | 6817 Southpoint Pkwy, Jacksonville, Florida |
| Authorized Official Name and Position | Thomas Carey Merritt (PRESIDENT) |
| Authorized Official Contact | 9042963113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Gilead 6817 Southpoint Pkwy Suite 304 Jacksonville FL 32216-6282 Ph: (904) 296-3113 | Mount Gilead 6817 Southpoint Pkwy Suite 304 Jacksonville FL 32216-6282 Ph: (904) 296-3113 |
| NPI Number | 1679868467 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 06/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679868467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 603914 (Florida) | Primary |
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