| Ac Medical Provider, Inc. | |
|
4340 W Newberry Rd Gainesville FL 32607-2586 | |
| (772) 692-8082 | |
| Not Available |
| Full Name | Ac Medical Provider, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4340 W Newberry Rd, Gainesville, Florida |
| Authorized Official Name and Position | Colleen B Parkhurst (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7726928082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ac Medical Provider, Inc. 3405 Nw Federal Hwy Jensen Beach FL 34957 Ph: (772) 692-8082 | Ac Medical Provider, Inc. 4340 W Newberry Rd Gainesville FL 32607-2586 Ph: (772) 692-8082 |
| NPI Number | 1578928396 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 12/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578928396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME74643 (Florida) | Primary |
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