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)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
Provider Address
Other Internal Medicine Physicians in Jacksonville, Florida:
Jacksonville Wellness Center & Preventive Medicine Clinic
Jacksonville, FLSpecialty: Internal Medicine Physician (Primary)