NPI 1508893579 JACKSONVILLE IMPOTENCE TREATMENT CENTER JACKSONVILLE FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jacksonville Impotence Treatment Center - NPI: 1508893579

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: JACKSONVILLE IMPOTENCE TREATMENT CENTER
NPI Number: 1508893579
Entity Type Code: Organizational (2)
Authorized Official Name: ROGER JAMES MILLER
(PRESIDENT., JITC)
Mailing Address: 2950 Halcyon Lane Suite706
Jacksonville
State: FL US
Postal Code: 32223
Phone Number: 9048801366
Fax Number: 9048808038
NPI Enumeration Date: 06/27/2006
NPI Last Update Date: 03/31/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261Q00000X
License Number: ME0053960
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization:
Taxonomy Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


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