Organization · Type 2 NPI

Im Sulzbacher Center for the Homeless, Inc

Federally Qualified Health Center (FQHC) · Jacksonville, FL

NPI number 1396369187 Active

Practice location

5455 Springfield Blvd
Jacksonville, FL 32208-5166

Mailing address

611 E Adams St
Jacksonville, FL 32202-2847

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1396369187

Im Sulzbacher Center for the Homeless, Inc's National Provider Identifier is 1396369187, issued on Jun 8, 2020. 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 Jun 8, 2020.