| Southside Medical Assoicates Llc | |
|
4203 Belfort Road Jaksonville FL 32216 | |
| (703) 556-6620 | |
| (703) 556-6625 |
| Full Name | Southside Medical Assoicates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4203 Belfort Road, Jaksonville, Florida |
| Authorized Official Name and Position | Ken Abramowittz (CEO) |
| Authorized Official Contact | 7035566620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Medical Assoicates Llc 1950 Old Gallows Rd. # 220 Vienna VA 22182 Ph: (703) 556-6620 | Southside Medical Assoicates Llc 4203 Belfort Road Jaksonville FL 32216 Ph: (703) 556-6620 |
| NPI Number | 1154577922 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 09/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154577922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS8120 (Florida) | Primary |