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1702 S Jefferson St Perry FL 32348-5611 | |
(850) 838-2323 | |
(850) 838-2333 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1702 S Jefferson St, Perry, Florida |
Authorized Official Name and Position | Sara A Grambling (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 8505840609 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1702 S Jefferson St Perry FL 32348-5611 Ph: (850) 838-2323 | 1702 S Jefferson St Perry FL 32348-5611 Ph: (850) 838-2323 |
NPI Number | 1184809824 |
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Provider Enumeration Date | 12/31/2007 |
Last Update Date | 12/31/2007 |
Identifier | Type | State | Issuer |
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1184809824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME99913 (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 | |