Organization · Type 2 NPI

Jacksonville Impotence Treatment Center

Clinic/Center · Jacksonville, FL

NPI number 1508893579 Active

Practice location

2950 Halcyon Lane, SUITE706
Jacksonville, FL 32223

Call (904) 880-1366 Map

Fax (904) 880-8038

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XME0053960 (FL)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1508893579

Jacksonville Impotence Treatment Center's National Provider Identifier is 1508893579, issued on Jun 27, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 31, 2008.