| Tiomico-trahan Family Care Center Pa | |
|
7740 Point Meadows Dr Suite 6 Jacksonville FL 32256-9179 | |
| (904) 641-6110 | |
| (904) 641-0866 |
| Full Name | Tiomico-trahan Family Care Center Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 7740 Point Meadows Dr, Jacksonville, Florida |
| Authorized Official Name and Position | Maria Gina Tiomico-trahan (PRESIDENT) |
| Authorized Official Contact | 9046416110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiomico-trahan Family Care Center Pa Po Box 890594 Charlotte NC 28289-0594 Ph: (904) 282-6331 | Tiomico-trahan Family Care Center Pa 7740 Point Meadows Dr Suite 6 Jacksonville FL 32256-9179 Ph: (904) 641-6110 |
| NPI Number | 1962515437 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962515437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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