Organization
EMORY MEDICAL CORPORATION
Active
Parent organization
EMORY MEDICAL CORPORATION
Other names
WOMEN'S CENTER OF FLORIDA
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMORY MEDICAL CORPORATION
Authorized official
MRS. AMANDA BOLT (OFFICE MANAGER)
(386) 466-1106
Entity
Organization
Contact information
Practice address
1546 S WATER ST, STE. A, STARKE, FL 32091-4511
(904) 964-4777
(904) 964-4780
Mailing address
PO BOX 1646, LAKE CITY, FL 32056-1646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2093
FL
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
08/20/2013
Last updated
08/22/2013
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