NPI 1376095729

Liquid Logic Rx

Organisation Point of Service Jacksonville, FL

Practice location

Address: 5105 Bowden Rd, Jacksonville, FL 32216-5907
Phone: (904) 374-0294

Authorised official

Name: Antonietta Guzman
Title: Office Manager
Phone: (904) 374-0260

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 207L00000X (FL)

Other Point of Service providers in Florida →

Registry record

NPI: 1376095729
Entity type: Organization
NPI issued: 2 Nov 2016
Record last updated: 2 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.