Cogent Healthcare Of Jacksonville, Llc
Internal Medicine Physician in Jacksonville, FL(View on Map)
Legal Business Name
Cogent Healthcare Of Jacksonville, Llc
NPI Number
1124252333
NPI Type
Organization
Enumeration Date
05/04/2009
Specialties
(Taxonomies)Name
Code
207R00000X
207Q00000X
208M00000X
363L00000X
363A00000X
Primary Taxonomy
Yes
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
5410 MARYLAND WAY
655 W 8TH ST
City
Brentwood
Jacksonville
State
TN
FL
Postal Code
37027-5064
32209-6511
Country
US
US
Telephone Number
(615) 377-5600
(904) 244-3850
Authorized Official
Name
Susan Brownie
Title or Position
TREASURER
Telephone Number
(615) 377-5630
Identifiers
Identifier
001651500
00A4D
Identifier State
FL
FL
Identifier Issuer
Unknown
BLUE CROSS/BLUE SHIELD OF FLORIDA
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/07/2010
Provider Address
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