Mdl Health, Pllc | |
1802 Glencoe Dr Lynn Haven FL 32444-4077 | |
(703) 625-1430 | |
Not Available |
Full Name | Mdl Health, Pllc |
---|---|
Speciality | Clinic/center |
Location | 1802 Glencoe Dr, Lynn Haven, Florida |
Authorized Official Name and Position | Hashani M Perkins (PRESIDENT) |
Authorized Official Contact | 7036251430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mdl Health, Pllc 1802 Glencoe Dr Lynn Haven FL 32444-4077 Ph: () - | Mdl Health, Pllc 1802 Glencoe Dr Lynn Haven FL 32444-4077 Ph: (703) 625-1430 |
NPI Number | 1053771493 |
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Provider Enumeration Date | 02/27/2016 |
Last Update Date | 02/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053771493 | NPI | - | NPPES |
014866800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | ME123818 (Florida) | Primary |
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