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Organization

FAMILY PRACTICE,DR.ASSEFA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRENA MARIA ASSEFA M.D. (MANAGER)
(386) 329-3939
Entity
Organization

Contact information

Practice address
6100 SAINT JOHNS AVE STE 4, PALATKA, FL 32177-6859
(386) 329-3939
(386) 329-8990
Mailing address
PO BOX 2627, PALATKA, FL 32178-2627
(386) 329-3939
(386) 329-8990

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME67444
FL

Other

Enumeration date
03/19/2011
Last updated
06/26/2012
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