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Organization
TOWN AND COUNTRY MEDICAL INC
Active
Organization
TOWN AND COUNTRY MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH PANTAGES R.P.T (OWNER)
(352) 873-7555
Entity
Organization
Contact information
Practice address
3200 SW 34TH AVE, SUITE 501, OCALA, FL 34474-7456
(352) 873-7555
(352) 873-7556
Mailing address
3200 SW 34TH AVE, SUITE 501, OCALA, FL 34474-7456
(352) 873-7555
(352) 873-7556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y7022
BLUE CROSS PROVIDER NUMBE
FL
Enumeration date
09/14/2006
Last updated
04/03/2008
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