Family Medical Practice Management, Inc.

NPI #1366687923 in Holly Hill, Florida

Provider Information

NPI Number: 1366687923
Entity Type: Organization
Organization Name: Family Medical Practice Management, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Dec 11, 2008
Last Updated: Dec 11, 2008

Practice Location

Address: 645 RIDGEWOOD AVE
City: Holly Hill
State: Florida
ZIP Code: 32117-3617
Phone: (386) 258-5476

Authorized Official

Name: JOHN A LEVIN
Title: SECRETARY
Phone: (386) 258-5476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Preventive Medicine - Occupational Medicine — Occupational Medicine	2083X0100X
General Practice	208D00000X
Family Medicine	207Q00000X	Primary

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