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Organization
NORDQUIST FAMILY MEDICAL CENTER MD PA
Active
Organization
NORDQUIST FAMILY MEDICAL CENTER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY E NORDQUIST MD (PRESIDENT)
(352) 638-7900
Entity
Organization
Contact information
Practice address
1925 DON WICKHAM DR, CLERMONT, FL 34711-1915
(352) 638-7900
(877) 444-2394
Mailing address
1925 DON WICKHAM DR, CLERMONT, FL 34711-1915
(352) 638-7900
(877) 444-2394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME103291
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME103291
FL MEDICAL LICENSE
FL
Enumeration date
10/04/2011
Last updated
10/04/2011
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