| Heart 2 Heart Family Practice | |
|
1326 State Road 100 Melrose FL 32666-3701 | |
| (386) 659-2104 | |
| Not Available |
| Full Name | Heart 2 Heart Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 1326 State Road 100, Melrose, Florida |
| Authorized Official Name and Position | Dollicia Green (PRESIDENT) |
| Authorized Official Contact | 3869160313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart 2 Heart Family Practice 1326 State Road 100 Melrose FL 32666-3701 Ph: () - | Heart 2 Heart Family Practice 1326 State Road 100 Melrose FL 32666-3701 Ph: (386) 659-2104 |
| NPI Number | 1871118604 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 12/06/2022 |
| Medicare PECOS PAC ID | 3476978214 |
|---|---|
| Medicare Enrollment ID | O20200810003603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871118604 | NPI | - | NPPES |
| 110545600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Melrose Medical Group Pl Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5818 Centre St, Melrose, FL 32666 Phone: 352-475-3292 | |
Heart 2 Heart Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1326 State Road 100, Melrose, FL 32666 Phone: 386-659-2104 Fax: 386-659-2196 | |
Medical And Wellness Center Of Melrose Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1745 Sr 100, Melrose, FL 32666 Phone: 954-854-4290 |