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Behavioral Health & Social Service Providers Psychologist

Provider NPI: 1265772370

Organization Information:
Organization Name:  ACE MEDICAL LLC
Organization is not Subpart
Authorized Official:  DIANA M CORDERO  OWNER/PRESIDENT  904-238-3752

Practice Location:
Tel: 904-475-2039  Fax: 904-330-0668

Business Mailing Address:
Tel: 904-475-2039  Fax: --

NPI Information:
NPI: 1265772370
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N103T00000XBehavioral Health & Social Service Providers
Neuromusculoskeletal Medicine, Sports Medicine
Family Medicine
Internal Medicine
Pain Medicine
N213E00000XPodiatric Medicine & Surgery Service Providers
N261QP1100XAmbulatory Health Care Facilities
Y261QM1300XAmbulatory Health Care Facilities

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QM1300X





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