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Contact Information

MANDARIN FAMILY MEDICINE, P.A.
12276-210 SAN JOSE BLVD
JACKSONVILLE, FL32223
 Phone: 904-268-9266
 Fax: 904-292-1482
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for MANDARIN FAMILY MEDICINE, P.A.

NPI # 1891031910
LBN Legal business name MANDARIN FAMILY MEDICINE, P.A.
Authorized official RODNEY MARCOM - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2012
Last updated 12/18/2012 - About 13 years ago
Identifiers
FL License # OS3739
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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