| Acacia S Healthcare Pllc | |
|
23864 N 166th Ln Surprise AZ 85387-1460 | |
| (609) 364-4028 | |
| Not Available |
| Full Name | Acacia S Healthcare Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 23864 N 166th Ln, Surprise, Arizona |
| Authorized Official Name and Position | Janet D Tate-brown (EMPLOYEE) |
| Authorized Official Contact | 6093644028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acacia S Healthcare Pllc 23864 N 166th Ln Surprise AZ 85387-1460 Ph: (609) 364-4028 | Acacia S Healthcare Pllc 23864 N 166th Ln Surprise AZ 85387-1460 Ph: (609) 364-4028 |
| NPI Number | 1720725625 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720725625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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