Origins Family Medical & Weight Loss Clinic INC

NPI #1962835306 in Lake City, Florida

Provider Information

NPI Number
1962835306
Entity Type
Organization
Organization Name
Origins Family Medical & Weight Loss Clinic INC
Primary Specialty
General Practice
Enumeration Date
Aug 20, 2013
Last Updated
Sep 12, 2013

Practice Location

Address
206 S MARION AVE
State
Florida
ZIP Code
32025-7058
Phone
(386) 755-5014

Authorized Official

Name
MR. DUANE E. THOMAS, ESQ.
Title
PRESIDENT/DIRECTOR
Phone
(386) 755-5014

Specialties & Taxonomy Codes

Specialty
General Practice

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