Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1306462270
|
|
Endpoint Type
|
OTHERS (Other URL)
|
|
Endpoint
|
904-372-0496
|
|
Endpoint Description
|
Other
|
|
Endpoint Affiliation
|
N (No, Endpoint is not affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
|
|
Affiliation Legal Business Address
|
493 Prosperity Lake Dr Ste 303
St Augustine FL
32092-5045
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
OTHER
|
|
Use Description
|
Other
|
|
Other Use Description
|
Other
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
OTHER
|
|
Content Description
|
Other
|
|
Other Content Description
|
Other
|
Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1306462270
|
|
Endpoint Type
|
OTHERS (Other URL)
|
|
Endpoint
|
904-372-0496
|
|
Endpoint Description
|
Fax
|
|
Endpoint Affiliation
|
N (No, Endpoint is not affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
|
|
Affiliation Legal Business Address
|
13453 N Main St Ste 401
Jacksonville FL
32218-2774
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
OTHER
|
|
Use Description
|
Other
|
|
Other Use Description
|
Other
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
OTHER
|
|
Content Description
|
Other
|
|
Other Content Description
|
Other
|
Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1306462270
|
|
Endpoint Type
|
OTHERS (Other URL)
|
|
Endpoint
|
904-372-0496
|
|
Endpoint Description
|
Fax
|
|
Endpoint Affiliation
|
N (No, Endpoint is not affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
|
|
Affiliation Legal Business Address
|
463380 State Road 200 Unit A
Yulee FL
32097-3240
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
OTHER
|
|
Use Description
|
Other
|
|
Other Use Description
|
Other
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
OTHER
|
|
Content Description
|
Other
|
|
Other Content Description
|
Other
|