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Organization
FAMILY MEDICAL PRACTICE MANAGEMENT, INC.
Active
Organization
FAMILY MEDICAL PRACTICE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A LEVIN (SECRETARY)
(386) 258-5476
Entity
Organization
Contact information
Practice address
645 RIDGEWOOD AVE, HOLLY HILL, FL 32117-3617
(386) 258-5476
Mailing address
645 RIDGEWOOD AVE, HOLLY HILL, FL 32117-3617
(386) 258-5476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
—
NULL
2083X0100X
Occupational Medicine Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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