Provider Demographics
NPI:1326079922
Name:DOCTORS MED CARE OF JACKSONVILLE, P.C.
Entity Type:Organization
Organization Name:DOCTORS MED CARE OF JACKSONVILLE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:AKIL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-435-7300
Mailing Address - Street 1:1505 PELHAM RD S
Mailing Address - Street 2:STE 2
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36265-3706
Mailing Address - Country:US
Mailing Address - Phone:256-435-7300
Mailing Address - Fax:256-435-7305
Practice Address - Street 1:1505 PELHAM RD S
Practice Address - Street 2:STE 2
Practice Address - City:JACKSONVILLE
Practice Address - State:AL
Practice Address - Zip Code:36265-3706
Practice Address - Country:US
Practice Address - Phone:256-435-7300
Practice Address - Fax:256-435-7305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty