SOUTHSIDE FAMILY PRACTICE &WOMENS HEALTH PA
Medical Practice at Gate Pkwy, Jacksonville, FL

License number
Florida ME83942
Category
Medical Practice
Type
Specialist
Owner
Name: DR. SUPARNA GULANI M.D
Title: MEDICAL DIRECTOR
Phone: (904) 296-1010
Address
Address
8075 Gate Pkwy W SUITE 102&103, Jacksonville, FL 32216
National Provider ID: 1326171190
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Southside Family Practice & Women's Health, PA

Jacksonville, FL

Registration:
Aug 30, 2004
Addresses:
4500 Salisbury Rd, Jacksonville, FL 32216
8075 Gate Pkwy W, Jacksonville, FL 32216
State ID:
P04000124881
Business type:
Domestic for Profit Corporation
President:
Suparna Gulani (President)

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