Family Medicine P A | |
1216 Nw 22nd Ave Gainesville FL 32609-3475 | |
(352) 378-7978 | |
(352) 378-9194 |
Full Name | Family Medicine P A |
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Speciality | Family Medicine |
Location | 1216 Nw 22nd Ave, Gainesville, Florida |
Authorized Official Name and Position | May E Montrichard (OWNER/CEO) |
Authorized Official Contact | 3523787978 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Medicine P A 1216 Nw 22nd Ave Gainesville FL 32609-3475 Ph: (352) 378-7978 | Family Medicine P A 1216 Nw 22nd Ave Gainesville FL 32609-3475 Ph: (352) 378-7978 |
NPI Number | 1962648196 |
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Provider Enumeration Date | 12/17/2008 |
Last Update Date | 01/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962648196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0072631 (Florida) | Primary |
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