Oceanway Medical Center, Inc.
Family Medicine Physician in Jacksonville, FL(View on Map)
Legal Business Name
Oceanway Medical Center, Inc.
NPI Number
1245255199
NPI Type
Organization
Enumeration Date
07/13/2006
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
11513 N MAIN ST
11513 N MAIN ST
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32218-4002
32218-4002
Country
US
US
Telephone Number
(904) 751-6200
(904) 751-6200
Authorized Official
Name
Jeanne Micolucci
Title or Position
PRESIDENT
Telephone Number
(904) 751-6200
Identifiers
Identifier
257848400
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/21/2022
Provider Address
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