Healthcare Provider Details

I. General information

NPI: 1881168433
Provider Name (Legal Business Name): CUREQUEST CLINICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 12/18/2019
Certification Date: 12/18/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 UNIVERSITY BLVD S
JACKSONVILLE FL
32216-2790
US

IV. Provider business mailing address

3101 UNIVERSITY BLVD S STE 100
JACKSONVILLE FL
32216-2750
US

V. Phone/Fax

Practice location:
  • Phone: 904-553-1017
  • Fax:
Mailing address:
  • Phone: 904-553-1017
  • Fax: 904-328-6100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD SCOTT COVINGTON
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 919-417-1980