Jacksonville Impotence Treatment Center
Jacksonville Impotence Treatment Center is a Clinic/Center in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
2950 Halcyon Lane SUITE706Jacksonville, FL 32223
Phone: (904) 880-1366
Fax: (904) 880-8038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence ME0053960 (FL) |
|---|
Record details
| NPI number | 1508893579 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Miller — President., Jitc · (904) 880-1366 |
| Other names | Jitc |
| NPI enumerated | June 27, 2006 |
| Last updated in NPPES | March 31, 2008 |
| Mailing address | 2950 Halcyon Lane, Suite706, Jacksonville, FL 32223 |
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