# DOCTORS MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DMH Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487613121
- **Authorized official:** MS. KAREN TIDWELL (CLINIC MANAGER)
- **Authorized official phone:** (850) 223-5409

## Contact information

- **Practice address:** 113 E MAIN ST, MAYO, FL 32066-4808
- **Practice address phone:** (386) 294-2475
- **Practice address fax:** (386) 294-2478
- **Mailing address:** 117 SW VIRGINIA CIR, MAYO, FL 32066-4065
- **Mailing address phone:** (386) 294-2475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 660123500 | FL | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 11/27/2012