| Madison Family Clinic | |
|
228 Ne Hancock Avenue Madison FL 32340-2560 | |
| (850) 973-4853 | |
| (850) 973-8860 |
| Full Name | Madison Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 228 Ne Hancock Avenue, Madison, Florida |
| Authorized Official Name and Position | Adolfo C Dulay (PHYSICIAN) |
| Authorized Official Contact | 8509734853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Family Clinic Po Box 934 Madison FL 32341 Ph: (850) 973-4853 | Madison Family Clinic 228 Ne Hancock Avenue Madison FL 32340-2560 Ph: (850) 973-4853 |
| NPI Number | 1487842795 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 2163616087 |
|---|---|
| Medicare Enrollment ID | O20101104000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487842795 | NPI | - | NPPES |
| CG0345 | Other | FL | RAILROAD MEDICARE GROUP |
| 117495000 | Medicaid | FL | |
| 256127100 | Medicaid | FL | |
| 406082663 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MEOO27368 (Florida) | Secondary |
| 207Q00000X | Family Medicine | ME0027368 (Florida) | Primary |
| Provider Name | Adolfo C Dulay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033110713 PECOS PAC ID: 0648464560 Enrollment ID: I20101104000245 |
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