BEACHES FAMILY MEDICINE PA
Marriage and Family Therapists at 16 Ave, Jacksonville, FL

License number
Florida OS0004709
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. VAUGHN E DOBALIAN M.D.
Title: PHYSICIAN AND OWNER
Phone: (904) 247-1911
Address
Address
340 16Th Ave N, Jacksonville, FL 32250
National Provider ID: 1407986920
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Beaches Family Medicine, PA

Jacksonville, FL

Registration:
Jan 3, 2005
Addresses:
340 16 Ave N, Jacksonville, FL 32250
14750 Bch Blvd, Jacksonville, FL 32250
PO Box 51595, Jacksonville, FL 32240
State ID:
P05000001358
Business type:
Domestic for Profit Corporation
Treasurer, Director, Secretarys:
Vaughn E. Dobalian (President, Treasurer, Secretary, Director),John C. Tanner President, Director, inactive,Millicent H. Tanner Treasurer, Director, Secretary, inactive

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