JACKSONVILLE IMPOTENCE TREATMENT CENTER

Clinic/Center

Active Organization
NPI: 1508893579

Practice Address

2950 HALCYON LANE
SUITE706
Jacksonville, FL 32223

Phone: (904) 880-1366

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes ME0053960 (FL)

Frequently Asked Questions

NPI 1508893579 is the National Provider Identifier for JACKSONVILLE IMPOTENCE TREATMENT CENTER, a Clinic/Center provider located in Jacksonville, FL. This NPI was enumerated on June 27, 2006.

Quick Facts

NPI
1508893579
Type
Organization
Enumerated
Jun 27, 2006
Last Updated
Mar 31, 2008

Nearby Providers