| Starke Family Medicine Clinic 01 Inc | |
|
1546 S Water St Starke FL 32091-4511 | |
| (904) 964-1888 | |
| (904) 964-1884 |
| Full Name | Starke Family Medicine Clinic 01 Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1546 S Water St, Starke, Florida |
| Authorized Official Name and Position | Natalia A Shiriaeva (PRESIDENT) |
| Authorized Official Contact | 9049641888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starke Family Medicine Clinic 01 Inc 1546 S Water St Starke FL 32091-4511 Ph: (904) 964-1888 | Starke Family Medicine Clinic 01 Inc 1546 S Water St Starke FL 32091-4511 Ph: (904) 964-1888 |
| NPI Number | 1760661938 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760661938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0081878 (Florida) | Primary |
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