| Dade City Primary Care Center | |
|
36739 State Road 52 Dade City FL 33525-5101 | |
| (727) 458-7461 | |
| Not Available |
| Full Name | Dade City Primary Care Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 36739 State Road 52, Dade City, Florida |
| Authorized Official Name and Position | Bo Haddle (OPERATIONS MANAGER) |
| Authorized Official Contact | 7274587461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dade City Primary Care Center 36739 State Road 52 Dade City FL 33525-5101 Ph: () - | Dade City Primary Care Center 36739 State Road 52 Dade City FL 33525-5101 Ph: (727) 458-7461 |
| NPI Number | 1194034744 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194034744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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