| Diane A Schlick Do Llc | |
|
616 S Jefferson St Perry FL 32347-4115 | |
| (850) 584-5876 | |
| (850) 584-4939 |
| Full Name | Diane A Schlick Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 616 S Jefferson St, Perry, Florida |
| Authorized Official Name and Position | Diane A Schlick (PROPRIETER) |
| Authorized Official Contact | 8505845876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane A Schlick Do Llc 616 S Jefferson St Perry FL 32347-4115 Ph: (850) 584-5876 | Diane A Schlick Do Llc 616 S Jefferson St Perry FL 32347-4115 Ph: (850) 584-5876 |
| NPI Number | 1205943164 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 08/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205943164 | NPI | - | NPPES |
| 256619200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS7860 (Florida) | Primary |
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