| Medex Primary Care | |
|
6500 Crill Ave Bldg 3 Ste 1 Palatka FL 32177-9230 | |
| (386) 326-0575 | |
| (386) 326-0571 |
| Full Name | Medex Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6500 Crill Ave, Palatka, Florida |
| Authorized Official Name and Position | Lynn H. Dennis (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 3863260575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medex Primary Care 6500 Crill Ave Building 3 Sute 1 Palatka FL 32177-9230 Ph: (386) 326-0575 | Medex Primary Care 6500 Crill Ave Bldg 3 Ste 1 Palatka FL 32177-9230 Ph: (386) 326-0575 |
| NPI Number | 1174892830 |
|---|---|
| Provider Enumeration Date | 12/23/2011 |
| Last Update Date | 12/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174892830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME54477 (Florida) | Primary |
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