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Organization
WILLISTON FAMILY PRACTICE,PA
Active
Organization
WILLISTON FAMILY PRACTICE,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA NATASHA MCBRIDE (OFFICEMANAGER)
(352) 529-1111
Entity
Organization
Contact information
Practice address
111 W NOBLE AVE, WILLISTON, FL 32696-2027
(352) 529-1111
(352) 529-1115
Mailing address
111 W NOBLE AVE, WILLISTON, FL 32696-2027
(352) 529-1111
(352) 529-1115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
06/11/2007
Last updated
11/18/2010
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