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Organization

BRIDGES & BRIDGES INC

Active
Other names
The Villages Clinical Laboratory
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLIFTON L. BRIDGES JR. MD (PRESIDENT)
(352) 751-8906
Entity
Organization

Contact information

Practice address
1501 N US HIGHWAY 441, BLDG. 1800, STE 1810, THE VILLAGES, FL 32159-8999
(352) 751-8906
Mailing address
PO BOX 1337, BLUEFIELD, WV 24701-1337

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L9276
BCBS OF FL
FL
01
P00159584
RAILROAD MEDICARE
Enumeration date
10/10/2005
Last updated
08/09/2007
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