NPI 1487077624
United States Navy
Practice location
- Address
- 2080 Child St, Jacksonville, FL 32214-5005
- Phone
- (904) 542-7082
Authorised official
- Name
- Gayle Shaffer
- Title
- Commanding Officer
- Phone
- (904) 542-4677
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1487077624
- Entity type
- Organization
- NPI issued
- 23 Jan 2014
- Record last updated
- 23 Jan 2014
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.