| Church Street Medical Center | |
|
13417 Us Highway 301 Dade City FL 33525-5446 | |
| (352) 567-5136 | |
| (352) 567-1321 |
| Full Name | Church Street Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 13417 Us Highway 301, Dade City, Florida |
| Authorized Official Name and Position | Chandresh Saraiya (PRESIDENT) |
| Authorized Official Contact | 8137833118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Church Street Medical Center 38135 Market Sq Zephyrhills FL 33542-7505 Ph: (813) 780-1255 | Church Street Medical Center 13417 Us Highway 301 Dade City FL 33525-5446 Ph: (352) 567-5136 |
| NPI Number | 1326215641 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 10/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326215641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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