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303 Suwannee Ave Nw Branford FL 32008-3275 | |
(386) 935-1093 | |
(386) 935-3113 |
Full Name | |
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Speciality | Family Medicine |
Location | 303 Suwannee Ave Nw, Branford, Florida |
Authorized Official Name and Position | Virginia V Samera (PRESIDENT) |
Authorized Official Contact | 3869351093 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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303 Suwannee Ave Nw Branford FL 32008-3275 Ph: (386) 935-1093 | 303 Suwannee Ave Nw Branford FL 32008-3275 Ph: (386) 935-1093 |
NPI Number | 1730377045 |
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Provider Enumeration Date | 10/11/2007 |
Last Update Date | 06/29/2010 |
Identifier | Type | State | Issuer |
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1730377045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | ME0028682 (Florida) | Primary |
Three Rivers Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Suwannee Ave Nw, Branford, FL 32008 Phone: 386-935-1607 Fax: 386-935-1667 | |