MEDICARE: LIQUID LOGIC RX

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
1	305S00000X	Point of Service	207L00000X	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376095729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIQUID LOGIC RX

Provider Business Mailing Address
First Line	:	5105 BOWDEN RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-5907
Country	:	US
Telephone Number	:	904-374-0294
Fax Number	:

Provider Business Practice Location Address
First Line	:	5105 BOWDEN RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-5907
Country	:	US
Telephone Number	:	904-374-0294
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. ANTONIETTA GUZMAN
Credential	:
Telephone Number	:	904-374-0260

Provider Enumeration Date	:	11/02/2016
Last Update Date	:	11/02/2016

Similar Medicare Providers

1225105299 — DR. PHILIP ADRIAN CARNEVALE M.D.
Practice Location Address:

5105 BOWDEN RD
JACKSONVILLE, FL
32216-5907

Practice Phone: 904-374-0260
Practice Fax: 904-619-5463

1194892869 — DR. LAURA JUNE SOLON BAKER M.D.
Practice Location Address:

5105 BOWDEN RD
JACKSONVILLE, FL
32216-5907

Practice Phone: 904-374-0260
Practice Fax: 904-619-5463

1285117549 — PARTHENON MEDICAL PLLC
Practice Location Address:

5105 BOWDEN RD STE 3
JACKSONVILLE, FL
32216-5907

Practice Phone: 904-660-7896
Practice Fax: 904-212-2227

1881876902 — FIRST COAST PODIATRY, P A
Practice Location Address:

3115 SPRING GLEN RD STE 507
JACKSONVILLE, FL
32207-5907

Practice Phone: 904-354-1192
Practice Fax: 904-354-1193

1750863130 — COMPREHENSIVE COUNSELING AND FAMILY SERVICES, LLC
Practice Location Address:

3115 SPRING GLEN RD STE 504
JACKSONVILLE, FL
32207-5907

Practice Phone: 904-404-8113
Practice Fax: 904-453-8668

1285336040 — FOOT SERVICES BY JAYNELL M SMITH-CAMERON
Practice Location Address:

3115 SPRING GLEN RD STE 507
JACKSONVILLE, FL
32207-5907

Practice Phone: 904-294-1192
Practice Fax:

Directions to “LIQUID LOGIC RX ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.