| Mayo Street Medical, Inc | |
|
7600 Mayo St Ste A Century FL 32535-2905 | |
| (888) 517-4992 | |
| (252) 377-4231 |
| Full Name | Mayo Street Medical, Inc |
|---|---|
| Speciality | General Practice |
| Location | 7600 Mayo St Ste A, Century, Florida |
| Authorized Official Name and Position | Christian Bachman (PRESIDENT) |
| Authorized Official Contact | 8885174992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayo Street Medical, Inc 7600 Mayo St Ste A Century FL 32535-2905 Ph: (888) 517-4992 | Mayo Street Medical, Inc 7600 Mayo St Ste A Century FL 32535-2905 Ph: (888) 517-4992 |
| NPI Number | 1164812962 |
|---|---|
| Provider Enumeration Date | 01/31/2015 |
| Last Update Date | 01/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164812962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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