Advanced Family Medicine Clinic INC

NPI #1184805830 in Crestview, Florida

Provider Information

NPI Number: 1184805830
Entity Type: Organization
Organization Name: Advanced Family Medicine Clinic INC
Primary Specialty: Family Medicine
Enumeration Date: Nov 23, 2007
Last Updated: Apr 17, 2020

Practice Location

Address: 327 MEDCREST DRIVE
Address 2: UNIT A
City: Crestview
State: Florida
ZIP Code: 32536
Phone: (850) 423-0761

Authorized Official

Name: KATE R LOPS, M.D.
Title: OWNER/PHYSICIAN
Phone: (850) 423-0761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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