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Organization
HIGH SPRINGS MEDICAL CENTER PA
Active
Organization
HIGH SPRINGS MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD SORIN MCINTYRE M.D. (PRESIDENT)
(386) 454-7746
Entity
Organization
Contact information
Practice address
105 NW SANTA FE BLVD, HIGH SPRINGS, FL 32643
(386) 454-7746
(386) 454-3034
Mailing address
105 NW SANTA FE BLVD, HIGH SPRINGS, FL 32643
(386) 454-7746
(386) 454-3034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME55334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09205X
INDIVIDUAL/GROUP NUMBER
FL
01
—
33730
GROUP PROVIDER NUMBER
FL
Enumeration date
09/19/2006
Last updated
08/22/2020
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