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Organization
THREE OAKS FAMILY MEDICINE LLC
Active
Organization
THREE OAKS FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PACHECO ARNP-C (OWNER/PROVIDER)
(239) 560-2657
Entity
Organization
Contact information
Practice address
825 E COWBOY WAY, UNITS 102/103, LABELLE, FL 33935
(239) 560-2657
Mailing address
325 VIA DEL AQUA, CLEWISTON, FL 33440-2422
(239) 560-2657
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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