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Organization
AC MEDICAL PROVIDER, INC.
Active
Organization
AC MEDICAL PROVIDER, INC.
Active
Parent organization
TREASURE COAST MEDICAL ASSOICATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
TREASURE COAST MEDICAL ASSOICATES
Authorized official
COLLEEN B PARKHURST (DIRECTOR OF OPERATIONS)
(772) 692-8082
Entity
Organization
Contact information
Practice address
4340 W NEWBERRY RD, GAINESVILLE, FL 32607-2586
(772) 692-8082
Mailing address
3405 NW FEDERAL HWY, JENSEN BEACH, FL 34957
(772) 692-8082
(772) 232-9383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME74643
FL
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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