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Organization

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Organization subpart
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Provider details

NPI number
Authorized official
MR. JOHN MARKHAM (ADMINISTRATOR/AGENT)
(352) 376-4024
Entity
Organization

Contact information

Practice address
4615 NW 53RD AVE, STE C, GAINESVILLE, FL 32653-4885
(352) 376-4024
Mailing address
4615 NW 53RD AVE STE C, GAINESVILLE, FL 32653-4885
(352) 376-4024

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
29993307
FL

Other

Enumeration date
06/26/2013
Last updated
06/26/2013
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