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Organization
WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC
Active
Organization
WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANTHONY KEEN MD (MANAGER)
(850) 926-3140
Entity
Organization
Contact information
Practice address
41 FELI WAY, CRAWFORDVILLE, FL 32327-2368
(850) 926-3140
(850) 926-3163
Mailing address
41 FELI WAY, CRAWFORDVILLE, FL 32327-2368
(850) 926-3140
(850) 926-3163
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002074401
—
FL
Enumeration date
07/16/2021
Last updated
07/16/2021
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