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Organization
PATHWAY MEDCONSULT CLINIC
Active
Organization
PATHWAY MEDCONSULT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGDALIA SANES (CREDENTIALING SPECIALIST)
(352) 427-3882
Entity
Organization
Contact information
Practice address
202B SW 17TH ST, OCALA, FL 34471-8138
(352) 427-6609
Mailing address
202B SW 17TH ST, OCALA, FL 34471-8138
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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