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Organization
DOCTORS MEMORIAL HOSPITAL INC
Active
Organization
DOCTORS MEMORIAL HOSPITAL INC
Active
Other names
DMH Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN TIDWELL (CLINIC MANAGER)
(850) 223-5409
Entity
Organization
Contact information
Practice address
113 E MAIN ST, MAYO, FL 32066-4808
(386) 294-2475
(386) 294-2478
Mailing address
117 SW VIRGINIA CIR, MAYO, FL 32066-4065
(386) 294-2475
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
660123500
FL
Other
Enumeration date
03/21/2006
Last updated
11/27/2012
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