PERRY JC MD PA
Psychiatric at Philips Hwy, Jacksonville, FL

License number
Florida ME83999
Category
Psychiatric
Type
Interventional Pain Medicine
Owner
Name: PERRY J COLE MD
Title: OWNER
Phone: (904) 733-0099
Address
Address 2
7999 Philips Hwy STE 302, Jacksonville, FL 32256
PO Box 3123, Saint Augustine, FL 32085
National Provider ID: 1457587891
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Perry Jc MD, PA

Jacksonville, FL

Status:
Inactive
Registration:
Jan 19, 2005
Addresses:
10014 Sifton Ct, Jacksonville, FL 32246
7999 Philips Hwy, Jacksonville, FL 32256
State ID:
P05000009621
Business type:
Domestic for Profit Corporation
President, Secretary:
Perry Cole President, Secretary, inactive

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