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NPI Code Detail

MEDICARE: NORTH FLORIDA ADDICTION MEDICINE

MEDICARE: NORTH FLORIDA ADDICTION MEDICINE
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
1291U00000XClinical Medical Laboratory8000-27017FL

General Provider Information

NPI Number : 1447306410
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH FLORIDA ADDICTION MEDICINE
Provider Business Mailing Address
First Line : 1100 PARK CENTRAL BLVD S
Second Line : SUITE 3400
City : POMPANO BEACH
State : FL
Zip : 33064-2218
Country : US
Telephone Number : 954-691-0856
Fax Number : 954-691-0834
Provider Business Practice Location Address
First Line : 1900 CORPORATE SQUARE BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-1941
Country : US
Telephone Number : 954-691-0856
Fax Number : 954-691-0834
Authorized Official
Title or Position : DIRECTOR BILLING/COLLECTIONS
Name : DONNA A CAMPBELL
Credential :
Telephone Number : 954-691-0856
Provider Enumeration Date : 01/25/2007
Last Update Date : 12/01/2014

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Directions to “NORTH FLORIDA ADDICTION MEDICINE ” Practice Location

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