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Organization
MIDWAY PRIMARY CARE LLC
Active
Organization
MIDWAY PRIMARY CARE LLC
Active
Parent organization
MIDWAY SPECIALTY CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWAY SPECIALTY CARE CENTER
Authorized official
KATHRYN HAYDEN (BOARD MEMBER)
(772) 464-9746
Entity
Organization
Contact information
Practice address
3255 S US HIGHWAY 1, FORT PIERCE, FL 34982-6381
(772) 742-9470
Mailing address
356 E MIDWAY RD, FORT PIERCE, FL 34982-7148
(772) 464-9746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
06/24/2022
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