PHYSICIANS MEDICAL CENTER NORTHSIDE INC
Chiropractic at Dunn Ave, Jacksonville, FL

License number
Florida FL7438
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. RICHARD EDGAR KERSEY JR. D.D.
Title: PRESIDENT
Phone: (904) 757-2527
Address
Address
1840 Dunn Ave SUITE 1, Jacksonville, FL 32218
National Provider ID: 1891069449
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIANS MEDICAL CENTER NORTHSIDE, INC

1840 Dunn Ave, Jacksonville, FL 32218

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Jun 12, 1998
Inactive since:
Oct 2, 2014
State ID:
P98000052996
Business type:
Florida Profit Corporation
Vice Presidents:
Richard E Kersey (President, Treasurer, Director), 1840 Dunn Ave, Jacksonville, FL 32218 (Physical),Deborah K Dangar (Vice President), 1840 Dunn Ave SUITE 1, Jacksonville, FL 32218 (Physical)
Agent:
Richard Kersey,1840 Dunn Ave, Jacksonville, FL 32218 (Physical)
EIN:
59-3520922

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