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Organization
TECSON FAMILY PRACTICE INC
Active
Organization
TECSON FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELITO B TECSON MD (OWNER)
(904) 259-3150
Entity
Organization
Contact information
Practice address
725 S 6TH ST, MACCLE, MACCLENNY, FL 32063
(904) 259-3150
(904) 259-7890
Mailing address
725 S 6TH ST, MACCLENNY, FL 32063
(904) 259-3150
(904) 259-7890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00ME28296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041706
AV MED
FL
05
—
058027900
—
FL
01
—
586668
AETNA
FL
Enumeration date
06/24/2008
Last updated
09/29/2008
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