| Mill Creek Family Care | |
|
475 W Town Pl Suite 105 St Augustine FL 32092-3648 | |
| (904) 940-1441 | |
| (904) 940-1490 |
| Full Name | Mill Creek Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 475 W Town Pl, St Augustine, Florida |
| Authorized Official Name and Position | Traci L Bragg (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9049401441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Creek Family Care 475 W Town Pl Suite 105 St Augustine FL 32092-3648 Ph: (904) 940-1441 | Mill Creek Family Care 475 W Town Pl Suite 105 St Augustine FL 32092-3648 Ph: (904) 940-1441 |
| NPI Number | 1255362034 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255362034 | NPI | - | NPPES |
| 16805 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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