| Heritage Family Medicine And Wellness | |
|
3887 Scotts Plaza Dr Jay FL 32565-4001 | |
| (850) 981-0320 | |
| (850) 981-0911 |
| Full Name | Heritage Family Medicine And Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 3887 Scotts Plaza Dr, Jay, Florida |
| Authorized Official Name and Position | Lori Michele Elder (PRACTICE MANAGER) |
| Authorized Official Contact | 8509810320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Family Medicine And Wellness 3887 Scotts Plaza Dr Jay FL 32565-4001 Ph: (850) 981-0320 | Heritage Family Medicine And Wellness 3887 Scotts Plaza Dr Jay FL 32565-4001 Ph: (850) 981-0320 |
| NPI Number | 1144651209 |
|---|---|
| Provider Enumeration Date | 11/27/2013 |
| Last Update Date | 05/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144651209 | NPI | - | NPPES |
| 262643800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8505 (Florida) | Primary |
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