Organization

Perry Jc Md Pa

May also be knows as The Cole Clinic

Interventional Pain Medicine Physician in Jacksonville, FL(View on Map)

Legal Business Name

Perry Jc Md Pa

Also Known As

The Cole Clinic

NPI Number

1457587891

NPI Type

Organization

Enumeration Date

05/29/2009

Specialties

(Taxonomies)

Code

208VP0014X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME83999

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 3123
7999 PHILIPS HWY

City

St Augustine
Jacksonville

State

FL
FL

Postal Code

32085-3123
32256-4443

Country

US
US

Telephone Number

(904) 824-4990
(904) 733-0099

Authorized Official

Name

Perry Cole

Title or Position

OWNER

Telephone Number

(904) 733-0099

Identifiers

Identifier

0014P
002608400
614424600
7511404

Identifier State

FL
FL
FL
FL

Identifier Issuer

BCBS
Unknown
OWCP - FECA
AETNA

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

Data last updated by provider on 05/27/2011

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