Cleanslate Medical Group of Florida, PLLC
Cleanslate Medical Group of Florida, PLLC is an Addiction Medicine (Internal Medicine) Physician in Jacksonville, Florida. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1128 N Laura StJacksonville, FL 32206-4912
Phone: (904) 425-0400
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RA0401X |
|---|
Record details
| NPI number | 1225577760 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Hutchison — Cfo · (413) 584-2173 |
| NPI enumerated | February 16, 2017 |
| Last updated in NPPES | July 2, 2019 |
| Mailing address | 15 Century Blvd Ste 307, Nashville, TN 37214-3692 |
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