PHYSICIAN ASSOCIATES OF JACKSONVILLE, PA
Osteopathic Medicine at Riverside Ave, Jacksonville, FL

License number
Florida ME741014
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: DR. NAG RAVICHANDRAN M.D.
Title: ADMINISTRATOR
Phone: (904) 389-3770
Address
Address
2700 Riverside Ave, Jacksonville, FL 32205
National Provider ID: 1750448163
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIAN ASSOCIATES OF JACKSONVILLE, PA

Jacksonville, FL

Industry:
Internist
Registration:
Nov 19, 1999
Site:
myjacksdoctor.com
Phone:
(904) 389-3770 (Phone)
Description:
There are 2 doctors at this site. Surgery is not performed at this site. Average patient volume is 25 patients per day.
Addresses:
3 Shircliff Way SUITE 525, Jacksonville, FL 32204 (Physical)
12870 Brodick Ct, Jacksonville, FL 32224 (Mailing)
10974 Hickory Trce Ln, Jacksonville, FL 32256
2700 Riverside Ave, Jacksonville, FL 32205
State ID:
P99000101631
Business type:
Florida Profit Corporation
Director:
Nagamanikkam M.d. Ravichandran (Director), 12870 Brodick Ct, Jacksonville, FL 32224 (Physical)
Agent:
Nagamanikkam Ravichandran,12870 Brodick Ct, Jacksonville, FL 32224 (Physical)
EIN:
59-3611260

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