| Southern Medical Clinic Pa | |
|
32 S 5th St Macclenny FL 32063-2302 | |
| (904) 259-9377 | |
| (904) 259-9949 |
| Full Name | Southern Medical Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 32 S 5th St, Macclenny, Florida |
| Authorized Official Name and Position | Kathleen Bridgeman (PRESIDENT) |
| Authorized Official Contact | 9042599377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Medical Clinic Pa 153 Laurina St Jacksonville FL 32216-9025 Ph: (904) 259-9377 | Southern Medical Clinic Pa 32 S 5th St Macclenny FL 32063-2302 Ph: (904) 259-9377 |
| NPI Number | 1437214541 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437214541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0047919 (Florida) | Primary |
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Peter C. Jansen Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 N 3rd St, Macclenny, FL 32063 Phone: 904-259-7815 Fax: 904-259-4675 | |
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