Columbia Family Medicine
NPI #1104533173 in Fort White, Florida
Provider Information
- NPI Number
- 1104533173
- Entity Type
- Organization
- Organization Name
- Columbia Family Medicine
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 31, 2022
- Last Updated
- Jan 23, 2023
Practice Location
- Address
- 238 SW CULLEN AVE
- City
- Fort White
- State
- Florida
- ZIP Code
- 32038-3536
- Phone
- (386) 497-1397
Authorized Official
- Name
- DAVID WAYNE DAVIS
- Title
- OWNER
- Phone
- (386) 365-0809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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| Gerardo Antonio Pedroza-Sierra, M.D. |
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| Coastal Pediatrics LLC | |
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