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San Jose Clinic, P.a.
Specialist in Jacksonville, Florida
NPI 1083846349

San Jose Clinic, P.a. is a Specialist based in Jacksonville, FL. San Jose Clinic, P.a. practices in Jacksonville, FL. The NPI Number for San Jose Clinic, P.a. is 1083846349 and holds a License No. ME75962 (Florida).

The current practice location address for San Jose Clinic, P.a. is 2449 University Blvd W, Jacksonville, FL and can be reached out via phone at 904-256-3330 and via fax at 904-256-3332.

Location: 2449 University Blvd W, Jacksonville, FL, 32259-4436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083846349
Provider Name
San Jose Clinic, P.a.
Credential
Provider Entity Type
Organization
Address
2449 University Blvd W, Jacksonville, FL, 32259-4436
Phone Number
904-256-3330
Fax Number
904-256-3332
Provider Enumeration Date
08/19/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
263567400 05 FL
institution
Provider Business Practice Location Address Details
Address
2449 University Blvd W
City
Jacksonville
State
Florida
Zip
32217-2037
Phone Number
904-256-3330
Fax Number
904-256-3332
person
Provider Business Mailing Address Details
Address
2449 University Blvd W
City
Jacksonville
State
Florida
Zip
32217-2037
Phone Number
904-256-3330
Fax Number
904-256-3332
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME75962 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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