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Organization
QUINCY FAMILY MEDICINE INC
Active
Organization
QUINCY FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA MONICA HOLLOMAN D.O. (PHYSICIAN/OWNER)
(850) 875-1146
Entity
Organization
Contact information
Practice address
300 E JEFFERSON ST, QUINCY, FL 32351-2530
(850) 875-1146
(850) 875-1218
Mailing address
300 E JEFFERSON ST, QUINCY, FL 32351-2530
(850) 875-1146
(850) 875-1218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS 0007688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069578
VISTA HEALTHPLAN
FL
01
—
167177
HEALTHEASE
FL
05
—
255092000
—
FL
01
—
44300
BLUE CROSS BLUE SHIELD
FL
01
—
K1831
MEDICARE GROUP
FL
Enumeration date
02/17/2008
Last updated
02/17/2009
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