| Shands Medical Group Of Live Oak-rhc | |
|
1426 Canyon Ave Ne Unit B Live Oak FL 32064-4832 | |
| (386) 208-0537 | |
| Not Available |
| Full Name | Shands Medical Group Of Live Oak-rhc |
|---|---|
| Speciality | Family Medicine |
| Location | 1426 Canyon Ave Ne, Live Oak, Florida |
| Authorized Official Name and Position | James P Wright (SR. DIRECTOR) |
| Authorized Official Contact | 6154657587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shands Medical Group Of Live Oak-rhc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7000 | Shands Medical Group Of Live Oak-rhc 1426 Canyon Ave Ne Unit B Live Oak FL 32064-4832 Ph: (386) 208-0537 |
| NPI Number | 1174921696 |
|---|---|
| Provider Enumeration Date | 12/16/2014 |
| Last Update Date | 12/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174921696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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