| Telewell Dpc | |
|
806 Laurel Valley Dr Orange Park FL 32065-2708 | |
| (866) 884-9646 | |
| Not Available |
| Full Name | Telewell Dpc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 806 Laurel Valley Dr, Orange Park, Florida |
| Authorized Official Name and Position | Telicia Fisher (OWNER/OPERATOR) |
| Authorized Official Contact | 9045344279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telewell Dpc 806 Laurel Valley Dr Orange Park FL 32065-2708 Ph: (866) 884-9646 | Telewell Dpc 806 Laurel Valley Dr Orange Park FL 32065-2708 Ph: (866) 884-9646 |
| NPI Number | 1578371860 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578371860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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