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Organization
HOLLEY-NAVARRE MEDICAL CLINIC LLC
Active
Organization
HOLLEY-NAVARRE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL RUDMAN M.D. (PRESIDENT)
(850) 939-3999
Entity
Organization
Contact information
Practice address
7552 NAVARRE PKWY STE 28, NAVARRE, FL 32566-0525
(850) 939-3999
(850) 939-3935
Mailing address
PO BOX 5525, NAVARRE, FL 32566-0525
(850) 939-3935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0074016
FL
Other
Enumeration date
09/13/2007
Last updated
11/27/2012
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