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Organization

PAXTON MEDICAL MANAGEMENT

Active
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Organization

PAXTON MEDICAL MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN GROVE (EXECUTIVE DIRECTOR)
(727) 744-9503
Entity
Organization

Contact information

Practice address
12020 SEMINOLE BLVD, LARGO, FL 33778-2805
(727) 588-9572
(727) 584-7581
Mailing address
12020 SEMINOLE BLVD, LARGO, FL 33778-2805
(727) 588-9572
(727) 584-7581

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—

Other

Enumeration date
09/18/2019
Last updated
12/13/2019
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