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Organization
M PATRICIA BEDOYA MD
Active
Organization
M PATRICIA BEDOYA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA P BEDOYA M.D. (OWNER)
(386) 752-0442
Entity
Organization
Contact information
Practice address
183 NW GWEN LAKE AVE, LAKE CITY, FL 32055-3711
(386) 752-0442
(386) 719-4752
Mailing address
183 NW GWEN LAKE AVE, LAKE CITY, FL 32055-3711
(386) 752-0442
(386) 719-4752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12040
FLORIDA BLUE
FL
05
—
202713500
—
FL
Enumeration date
01/20/2015
Last updated
01/20/2015
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