NPI 1508031055
Specialty Hospital
Practice location
- Address
- 4901 Richard St, Jacksonville, FL 32207-7328
- Phone
- (904) 730-5874
Authorised official
- Name
- Kevin McKeown
- Title
- Cfo
- Phone
- (904) 702-6573
Registered specialties
Special Hospital
Primary
Registry record
- NPI
- 1508031055
- Entity type
- Organization
- NPI issued
- 25 Apr 2008
- Record last updated
- 30 Mar 2022
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.