MAYO CLINIC is a medical specialty clinic center in Jacksonville, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MAYO CLINIC NPI is 1023405065. The provider is registered as an organization entity type.
The provider's business location address is:
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224-865
Phone: (904) 953-7330
The provider's authorized official is David Thiel .
The authorized official title is Department Chair and has the following contact phone number (904) 953-7330.
The CLIA number assigned to this NPI record is 10D2149164 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/16/2015 and was last updated on 4/16/2015.