Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency Medical Services |
207PE0004X | 93 | Physician/Emergency Medicine |
| NPI Number | 1841144680 |
| LBN Legal business name | JACKSONVILLE EP PLLC |
| Authorized official | KEELYN MARLATT - (DIRECTOR OF REVENUE CYCLE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/26/2026 |
| Last updated | 02/26/2026 - About 3 months ago |
| Identifiers | n/a |
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JACKSONVILLE EP PLLC
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