| Virtualmd 360, P.A. | |
|
301 W Bay St Ste 14141 Jacksonville FL 32202-5184 | |
| (800) 528-7045 | |
| Not Available |
| Full Name | Virtualmd 360, P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 W Bay St Ste 14141, Jacksonville, Florida |
| Authorized Official Name and Position | Lasongia Morton (PRESIDENT) |
| Authorized Official Contact | 4043966033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtualmd 360, P.A. 301 W Bay St Ste 14141 Jacksonville FL 32202-5184 Ph: (800) 528-7045 | Virtualmd 360, P.A. 301 W Bay St Ste 14141 Jacksonville FL 32202-5184 Ph: (800) 528-7045 |
| NPI Number | 1720601008 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720601008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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