OrganizationActive
Branch Medical Clinic Jacksonville
NPI 1104331065 · Military/U.S. Coast Guard Outpatient Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1104331065
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Naval Hospital Jacksonville
- Organization subpart
- Yes
- Authorized official
- William Condon, Bumed Ubo(240) 401-3643
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
964 Ajax St
Jacksonville, FL 32214-0001
Phone: (904) 546-7094
Approximate (ZIP-level) locationGet directions
Mailing address
2080 Child St
Jacksonville, FL 32214-5005
Registry dates
- Enumerated
- 2017-12-13
- Last updated
- 2017-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.