Ten Broeck Jacksonville LLC
NPI #1497758312 in Jacksonville, Florida
Provider Information
- NPI Number
- 1497758312
- Entity Type
- Organization
- Organization Name
- Ten Broeck Jacksonville LLC
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- May 24, 2005
- Last Updated
- May 8, 2008
Practice Location
- Address
- 6300 BEACH BLVD
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32216-2708
- Phone
- (904) 724-9202
Authorized Official
- Name
- MR. DAVID CORDDRY
- Title
- VICE PRESIDENT OF FINANCE
- Phone
- (407) 876-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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