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Organization
FCC COLEMAN
Active
Organization
FCC COLEMAN
Active
Parent organization
BOP
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOP
Authorized official
IVAN NEGRON M.D. (COMPLEX CLINICAL DIRECTOR)
(352) 689-3018
Entity
Organization
Contact information
Practice address
846 NE 54TH TERRACE, COLEMAN, FL 33521-1029
(352) 689-3018
Mailing address
PO BOX 1029, COLEMAN, FL 33521-1029
(352) 689-3267
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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