FIRST COAST PSYCHIATRIC SERVICES, P.A.
Psychiatric at Kingsley Ave, Orange Park, FL

License number
Florida ME112832
Category
Psychiatric
Type
Psychiatry
Owner
Name: WENDY C LU
Title: CREDENTIALING COORDINATOR
Phone: (904) 221-2535
Address
Address 2
462 Kingsley Ave SUITE 102, Orange Park, FL 32073
12620 Beach Blvd Suite 3 #318, Jacksonville, FL 32246
National Provider ID: 1104222801
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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First Coast Psychiatric Services, PA

Orange Park, FL  -  Jacksonville, FL

Industry:
Health Practitioner's Office
Registration:
Jul 21, 2014
Addresses:
462 Kingsley Ave, Orange Park, FL 32073
3655 Highland Gln Way W, Jacksonville, FL 32224
State ID:
P14000061103
Business type:
Domestic for Profit Corporation
President:
Ubaid Khokhar (President)

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