# HEART 2 HEART FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871118604
- **Authorized official:** DOLLICIA GREEN APRN (PRESIDENT)
- **Authorized official phone:** (386) 916-0313

## Contact information

- **Practice address:** 1326 STATE ROAD 100, MELROSE, FL 32666-3701
- **Practice address phone:** (386) 659-2104
- **Mailing address:** 1326 STATE ROAD 100, MELROSE, FL 32666-3701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2020
- **Last updated:** 12/06/2022