| |
616 S Jefferson St Perry FL 32347-4115 | |
(850) 584-5876 | |
(850) 584-4939 |
Full Name | |
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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 |
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616 S Jefferson St Perry FL 32347-4115 Ph: (850) 584-5876 | 616 S Jefferson St Perry FL 32347-4115 Ph: (850) 584-5876 |
NPI Number | 1205943164 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 08/02/2007 |
Identifier | Type | State | Issuer |
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1205943164 | NPI | - | NPPES |
256619200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS7860 (Florida) | Primary |
Perry Chiropractic Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 N Orange St, Perry, FL 32347 Phone: 850-584-7117 Fax: 850-584-7119 | |