# FIDELITY MEDICAL SERVICES PLC DBA MID-TOWN CENTER FOR HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mid-Town Center For Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326196924
- **Authorized official:** RICHARD WILLIS (PARTNER)
- **Authorized official phone:** (904) 421-2119

## Contact information

- **Practice address:** 701 OHIO AVE S, LIVE OAK, FL 32064-3816
- **Practice address phone:** (386) 330-5248
- **Mailing address:** 701 OHIO AVE S, LIVE OAK, FL 32064-3816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | FL | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 07/21/2022
