Organization

Medifirst-medifast, Inc

Internal Medicine Physician in Jacksonville, FL(View on Map)

Legal Business Name

Medifirst-medifast, Inc

NPI Number

1952336083

NPI Type

Organization

Enumeration Date

07/11/2006

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME0026098

Contact
Information

Purpose

Mailing
Location

Address

1718 N EDGEWOOD AVE
1718 N EDGEWOOD AVE

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32254
32254

Country

US
US

Telephone Number

(904) 781-6203
(904) 781-6203

Authorized Official

Name

Juan Garcia

Title or Position

OWNER/PHYSICIAN

Telephone Number

(904) 781-6203

Identifiers

Identifier

039050000

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/14/2014

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