Internal Medical Group, Inc.

NPI #1164485223 in Jacksonville, Florida

Provider Information

NPI Number: 1164485223
Entity Type: Organization
Organization Name: Internal Medical Group, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Apr 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8614 BAYMEADOWS WAY
Address 2: SUITE #100
City: Jacksonville
State: Florida
ZIP Code: 32256-8236
Phone: (904) 396-0450

Authorized Official

Name: DR. RICHARD D. GLOCK, M.D.
Title: PRESIDENT
Phone: (904) 396-0450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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