Organization · Type 2 NPI

Florida Department of Health

Federally Qualified Health Center (FQHC) · Jacksonville, FL

NPI number 1205013232 Active

Practice location

120 King St, Mc 75
Jacksonville, FL 32204-2410

Call (904) 253-2785 Map

Fax (904) 253-1961

Mailing address

900 University Blvd., Mc 75, Mc 75
Jacksonville, FL 32211

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency 251K00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1205013232

Florida Department of Health's National Provider Identifier is 1205013232, issued on Jan 22, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 21, 2015.