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First Coast Ltc Inc
General Practice Physician in Jacksonville, Florida
NPI 1932136314

First Coast Ltc Inc is a General Practice Physician based in Jacksonville, FL. First Coast Ltc Inc practices in Jacksonville, FL. The NPI Number for First Coast Ltc Inc is 1932136314 and holds a License No. (Florida).

The current practice location address for First Coast Ltc Inc is 6555 Chester Ave Ste 1, Jacksonville, FL and can be reached out via phone at 904-309-6504 and via fax at 904-503-3577.

Location: 6555 Chester Ave Ste 1, Jacksonville, FL, 32217-2279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932136314
Provider Name
First Coast Ltc Inc
Credential
Provider Entity Type
Organization
Address
6555 Chester Ave Ste 1, Jacksonville, FL, 32217-2279
Phone Number
904-309-6504
Fax Number
904-503-3577
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
CG-1814 01 RAILROAD MEDICARE
371340700 05 FL
institution
Provider Business Practice Location Address Details
Address
6555 Chester Ave Ste 1
City
Jacksonville
State
Florida
Zip
32217-2279
Phone Number
904-309-6504
Fax Number
904-503-3577
person
Provider Business Mailing Address Details
Address
6555 Chester Ave Ste 1
City
Jacksonville
State
Florida
Zip
32217-2279
Phone Number
904-309-6504
Fax Number
904-503-3577
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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