| E & M Medical Services | |
|
10383 Hampton Ave Starke FL 32091-7843 | |
| (352) 468-1735 | |
| (352) 468-1739 |
| Full Name | E & M Medical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 10383 Hampton Ave, Starke, Florida |
| Authorized Official Name and Position | Joelle M Innocent-simon (MEDICAL DOCTOR) |
| Authorized Official Contact | 3524681735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E & M Medical Services 10383 Hampton Ave Starke FL 32091-7843 Ph: (352) 468-1735 | E & M Medical Services 10383 Hampton Ave Starke FL 32091-7843 Ph: (352) 468-1735 |
| NPI Number | 1942270905 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942270905 | NPI | - | NPPES |
| 57355 | Other | FL | BCBS |
| 250170800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0006902 (Florida) | Primary |
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