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NPI Code Detail

MEDICARE: DR. JILL FITES PHARMD

MEDICARE: DR. JILL FITES PHARMD
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
1183500000XPharmacistPS30746FL

General Provider Information

NPI Number : 1851639470
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JILL FITES PHARMD
Provider Business Mailing Address
First Line : 670 MARSH LANDING PKWY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32250-5850
Country : US
Telephone Number : 904-273-7606
Fax Number :
Provider Business Practice Location Address
First Line : 670 MARSH LANDING PKWY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32250-5850
Country : US
Telephone Number : 904-273-7606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2013
Last Update Date : 01/17/2013

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Directions to “ DR. JILL FITES PHARMD” Practice Location

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