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8401 N Century Blvd Century FL 32535-1631 | |
(850) 256-5314 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 8401 N Century Blvd, Century, Florida |
Authorized Official Name and Position | Keith Strickling (ADMINISTRATOR) |
Authorized Official Contact | 8506758024 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 399 Century FL 32535-0399 Ph: () - | 8401 N Century Blvd Century FL 32535-1631 Ph: (850) 256-5314 |
NPI Number | 1699192567 |
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Provider Enumeration Date | 03/27/2014 |
Last Update Date | 01/11/2024 |
Medicare PECOS PAC ID | 3577466325 |
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Medicare Enrollment ID | O20180109000074 |
Identifier | Type | State | Issuer |
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1699192567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |