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Organization
STARKE FAMILY MEDICINE CLINIC 01 INC
Active
Organization
STARKE FAMILY MEDICINE CLINIC 01 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA A SHIRIAEVA MD (PRESIDENT)
(904) 964-1888
Entity
Organization
Contact information
Practice address
1546 S WATER ST, STARKE, FL 32091-4511
(904) 964-1888
(904) 964-1884
Mailing address
1546 S WATER ST, STARKE, FL 32091-4511
(904) 964-1888
(904) 964-1884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0081878
FL
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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