Ac Medical Provider, Inc. | |
4340 W Newberry Rd Gainesville FL 32607-2586 | |
(772) 692-8082 | |
Not Available |
Full Name | Ac Medical Provider, Inc. |
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Speciality | Family Medicine |
Location | 4340 W Newberry Rd, Gainesville, Florida |
Authorized Official Name and Position | Colleen B Parkhurst (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 7726928082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ac Medical Provider, Inc. 3405 Nw Federal Hwy Jensen Beach FL 34957 Ph: (772) 692-8082 | Ac Medical Provider, Inc. 4340 W Newberry Rd Gainesville FL 32607-2586 Ph: (772) 692-8082 |
NPI Number | 1578928396 |
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Provider Enumeration Date | 12/21/2015 |
Last Update Date | 12/21/2015 |
Identifier | Type | State | Issuer |
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1578928396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | ME74643 (Florida) | Primary |
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