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Jacksonville Impotence Treatment Center
Clinic/Center in Jacksonville, Florida
NPI 1508893579

Jacksonville Impotence Treatment Center is a Clinic/Center based in Jacksonville, FL. Jacksonville Impotence Treatment Center practices in Jacksonville, FL. The NPI Number for Jacksonville Impotence Treatment Center is 1508893579 and holds a License No. ME0053960 (Florida).

The current practice location address for Jacksonville Impotence Treatment Center is 2950 Halcyon Lane, Jacksonville, FL and can be reached out via phone at 904-880-1366 and via fax at 904-880-8038.

Location: 2950 Halcyon Lane, Jacksonville, FL, 32223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508893579
Provider Name
Jacksonville Impotence Treatment Center
Credential
Provider Entity Type
Organization
Address
2950 Halcyon Lane, Jacksonville, FL, 32223
Phone Number
904-880-1366
Fax Number
904-880-8038
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2950 Halcyon Lane
City
Jacksonville
State
Florida
Zip
32223
Phone Number
904-880-1366
Fax Number
904-880-8038
person
Provider Business Mailing Address Details
Address
2950 Halcyon Lane
City
Jacksonville
State
Florida
Zip
32223
Phone Number
904-880-1366
Fax Number
904-880-8038
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
ME0053960 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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