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Organization

NORTH FLORIDA MEDICAL GROUP, LLC

Active
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Organization

NORTH FLORIDA MEDICAL GROUP, LLC

Active
Parent organization
NORTH FLORIDA MEDICAL GROUP, LLC
Other names
Coastal Urgent Care and Family Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTH FLORIDA MEDICAL GROUP, LLC
Authorized official
MR. WILLIAM R RHODES JR. ARNP (PRES/CEO)
(850) 571-5844
Entity
Organization

Contact information

Practice address
1702 OHIO AVE, LYNN HAVEN, FL 32444-4290
(850) 571-5844
(850) 571-5845
Mailing address
1702 OHIO AVE, LYNN HAVEN, FL 32444-4290
(850) 571-5844
(850) 571-5845

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—

Other

Enumeration date
06/07/2010
Last updated
07/19/2012
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