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Organization
PHOENIX FAMILY HEALTH CARE CENTER
Active
Organization
PHOENIX FAMILY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOIS MARIE MENDEZ CATLIN ED.D. (VP BUSINESS MANAGER)
(850) 697-3420
Entity
Organization
Contact information
Practice address
1581 HIGHWAY 98 W, CARRABELLE, FL 32322-5009
(850) 697-3420
(850) 697-3423
Mailing address
1581 HIGHWAY 98 W, CARRABELLE, FL 32322-5009
(850) 697-3420
(850) 697-3423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ACN212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275192500
—
FL
Enumeration date
10/30/2011
Last updated
10/02/2012
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