Southern Medicine Primary & Urgent Care, Inc | |
1405 Ohio Ave N Live Oak FL 32064-4868 | |
(386) 209-0638 | |
(386) 219-0470 |
Full Name | Southern Medicine Primary & Urgent Care, Inc |
---|---|
Speciality | Family Medicine |
Location | 1405 Ohio Ave N, Live Oak, Florida |
Authorized Official Name and Position | Michelle Morris (PRESIDENT) |
Authorized Official Contact | 3862090638 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Medicine Primary & Urgent Care, Inc Po Box 6006 Live Oak FL 32064-6006 Ph: () - | Southern Medicine Primary & Urgent Care, Inc 1405 Ohio Ave N Live Oak FL 32064-4868 Ph: (386) 209-0638 |
NPI Number | 1841815826 |
---|---|
Provider Enumeration Date | 06/15/2020 |
Last Update Date | 05/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841815826 | NPI | - | NPPES |
12624827 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
Acv Community Services Ll Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10820 Marvin E Jones Blvd, Live Oak, FL 32060 Phone: 386-658-5341 | |
Horizon Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Demorest St Se, Live Oak, FL 32064 Phone: 386-362-5437 Fax: 386-362-5440 | |