institution
Jax Ob-gyn Pa
Gynecology Physician in Jacksonville, Florida
NPI 1891012365

Jax Ob-gyn Pa is a Gynecology Physician based in Jacksonville, FL and is specialized in Gynecology. Jax Ob-gyn Pa practices in Jacksonville, FL. The NPI Number for Jax Ob-gyn Pa is 1891012365 and holds a License No. ME32812 (Florida).

The current practice location address for Jax Ob-gyn Pa is 4123 University Blvd S., Jacksonville, FL and can be reached out via phone at 904-737-1920 and via fax at 904-737-8932.

Location: 4123 University Blvd S., Jacksonville, FL, 32216
institution
Provider Profile Details
NPI Number
1891012365
Provider Name
Jax Ob-gyn Pa
Credential
Provider Entity Type
Organization
Address
4123 University Blvd S., Jacksonville, FL, 32216
Phone Number
904-737-1920
Fax Number
904-737-8932
Provider Enumeration Date
04/23/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
037158100 05 FL
institution
Provider Business Practice Location Address Details
Address
4123 University Blvd S.
City
State
Zip
32216
Phone Number
904-737-1920
Fax Number
904-737-8932
person
Provider Business Mailing Address Details
Address
4123 University Blvd S.
City
State
Zip
32216
Phone Number
904-737-1920
Fax Number
904-737-8932
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
ME32812 (Florida)
Definition
Definition to come...
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