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1211 N Center St Perry FL 32347-2037 | |
(850) 584-2141 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1211 N Center St, Perry, Florida |
Authorized Official Name and Position | Sara Grambling (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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333 N Byron Butler Pkwy Perry FL 32347-2300 Ph: (850) 584-0609 | 1211 N Center St Perry FL 32347-2037 Ph: (850) 584-2141 |
NPI Number | 1639117237 |
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Provider Enumeration Date | 06/04/2006 |
Last Update Date | 05/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639117237 | NPI | - | NPPES |
10D0961931 | Other | CLIA | |
660099900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | 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 | |