| Tecson Family Practice Inc | |
|
725 S 6th St Maccle Macclenny FL 32063 | |
| (904) 259-3150 | |
| (904) 259-7890 |
| Full Name | Tecson Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 725 S 6th St, Macclenny, Florida |
| Authorized Official Name and Position | Angelito B Tecson (OWNER) |
| Authorized Official Contact | 9042593150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tecson Family Practice Inc 725 S 6th St Macclenny FL 32063 Ph: (904) 259-3150 | Tecson Family Practice Inc 725 S 6th St Maccle Macclenny FL 32063 Ph: (904) 259-3150 |
| NPI Number | 1205097060 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 09/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205097060 | NPI | - | NPPES |
| 058027900 | Medicaid | FL | |
| 041706 | Other | FL | AV MED |
| 586668 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00ME28296 (Florida) | Primary |
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Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 S 6th St, Macclenny, FL 32063 Phone: 904-259-3150 Fax: 904-259-7890 | |
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