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8401 N Century Blvd Century FL 32535-1631 | |
(850) 256-5314 | |
(850) 256-4433 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 8401 N Century Blvd, Century, Florida |
Authorized Official Name and Position | Bascom Clarence Raney (MEDICAL DIRECTOR) |
Authorized Official Contact | 8502565314 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 400 Century FL 32535 Ph: (850) 256-5314 | 8401 N Century Blvd Century FL 32535-1631 Ph: (850) 256-5314 |
NPI Number | 1235149949 |
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Provider Enumeration Date | 08/08/2006 |
Last Update Date | 12/21/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235149949 | NPI | - | NPPES |
660034400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mayo Street Medical, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7600 Mayo St Ste A, Century, FL 32535 Phone: 888-517-4992 Fax: 252-377-4231 | |