Advanced Practice Clinic Llc | |
1184 Circle Dr Ste B Defuniak Springs FL 32435-2599 | |
(850) 892-2464 | |
(850) 892-2138 |
Full Name | Advanced Practice Clinic Llc |
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Speciality | Clinic/center |
Location | 1184 Circle Dr Ste B, Defuniak Springs, Florida |
Authorized Official Name and Position | James William Howell (OWNER) |
Authorized Official Contact | 8508922464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Practice Clinic Llc Po Box 184 Defuniak Springs FL 32435-0184 Ph: (850) 892-2464 | Advanced Practice Clinic Llc 1184 Circle Dr Ste B Defuniak Springs FL 32435-2599 Ph: (850) 892-2464 |
NPI Number | 1679743454 |
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Provider Enumeration Date | 03/07/2008 |
Last Update Date | 08/28/2009 |
Identifier | Type | State | Issuer |
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1679743454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | OS7047 (Florida) | Primary |
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