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NPI Code Detail

MEDICARE: GALAXY MEDICAL CENTER

MEDICARE: GALAXY MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1013866920
Entity Type Code : Organization
Provider Name (Legal Business Name) : GALAXY MEDICAL CENTER
Provider Business Mailing Address
First Line : 6444 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2891
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6444 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2891
Country : US
Telephone Number : 678-792-0778
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DANIELLE ELLYSON
Credential :
Telephone Number : 678-792-0778
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “GALAXY MEDICAL CENTER ” Practice Location

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