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Contact Information

JACKSONVILLE PATHOLOGY CONSULTANTS PA
800 PRUDENTIAL DR
JACKSONVILLE, FL32207
 Phone: 904-202-1347
 Fax: 904-202-3232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JACKSONVILLE PATHOLOGY CONSULTANTS PA · (Female)

NPI Number 1376582080
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2006
Last updated 11/01/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Other CM7614 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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