ST. JOHNS BLUFF FAMILY PRACTICE
Marriage and Family Therapists at Saint Johns Bluff Rd, Jacksonville, FL

License number
Florida ME060414
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MRS. MERRIANNE RENEE RUST
Title: OFFICE MANAGER
Phone: (904) 564-4343
Address
Address
3690 Saint Johns Bluff Rd S, Jacksonville, FL 32224
National Provider ID: 1760695852
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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St. Johns Bluff Family Practice, PA

3690 Saint Johns Blf Rd S, Jacksonville, FL 32224

Status:
Inactive
Registration:
Apr 10, 2002
State ID:
P02000038884
Business type:
Domestic for Profit Corporation
Director:
Charles Rust Director, inactive

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