Organization · Type 2 NPI

FL Department of Health

Federally Qualified Health Center (FQHC) · Jacksonville, FL

NPI number 1497010425 Active

Practice location

1736 University Blvd S
Jacksonville, FL 32216-8929

Call (904) 253-1100 Map

Fax (904) 727-6548

Mailing address

900 University Blvd N, MC-75
Jacksonville, FL 32211-9230

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1497010425

FL Department of Health's National Provider Identifier is 1497010425, issued on Jul 5, 2012. 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 Aug 14, 2013.