institution
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. You can also correspond with First Coast Ltc Inc through the mailing address at 6555 CHESTER AVE STE 1, JACKSONVILLE, FL - 32217-2279 (mailing address contact number: 904-309-6504).

Location: 6555 Chester Ave Ste 1, Jacksonville, FL, 32217-2279
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
State
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
State
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
License No.
()
Definition
Definition to come...
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