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Organization
IRVIN C. BEMBRY, M.D.P.A.
Active
Organization
IRVIN C. BEMBRY, M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRVIN C BEMBRY M.D. (PRESIDENT)
(386) 792-2985
Entity
Organization
Contact information
Practice address
413 5TH AVE NW, JASPER, FL 32052-7801
(386) 792-2985
(386) 792-0833
Mailing address
PO BOX 1028, JASPER, FL 32052-1028
(386) 792-2985
(386) 792-0833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055712900
—
FL
01
—
18882
BLUE CROSS AND BLUE SHIELD OF FL.
FL
Enumeration date
12/02/2009
Last updated
12/02/2009
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