Mayo Street Medical, INC

NPI #1164812962 in Century, Florida

Provider Information

NPI Number: 1164812962
Entity Type: Organization
Organization Name: Mayo Street Medical, INC
Primary Specialty: General Practice
Enumeration Date: Jan 31, 2015
Last Updated: Jan 31, 2015

Practice Location

Address: 7600 MAYO ST STE A
City: Century
State: Florida
ZIP Code: 32535-2905
Phone: (888) 517-4992

Authorized Official

Name: DR. CHRISTIAN BACHMAN, MD
Title: PRESIDENT
Phone: (888) 517-4992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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