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Organization
MED FAMILY CARE PLLC
Active
Organization
MED FAMILY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABEL RODRIGUEZ M.D. (OWNER)
(787) 363-3790
Entity
Organization
Contact information
Practice address
3600 NW 43RD ST, SUITE D-2, GAINESVILLE, FL 32606
(352) 872-5755
(352) 872-5102
Mailing address
3600 NW 43RD ST, SUITE D-2, GAINESVILLE, FL 32606-8137
(787) 363-3790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ACN441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011048000
—
FL
Enumeration date
04/30/2014
Last updated
09/16/2014
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