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Organization
TIOMICO-TRAHAN FAMILY CARE CENTER PA
Active
Organization
TIOMICO-TRAHAN FAMILY CARE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GINA TIOMICO-TRAHAN M.D. (PRESIDENT)
(904) 641-6110
Entity
Organization
Contact information
Practice address
7740 POINT MEADOWS DR, SUITE 6, JACKSONVILLE, FL 32256-9179
(904) 641-6110
(904) 641-0866
Mailing address
PO BOX 890594, CHARLOTTE, NC 28289-0594
(904) 282-6331
(904) 282-1550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/17/2006
Last updated
11/14/2007
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