Organization
COLUMBIA FAMILY MEDICINE
Active
Other names
Columbia Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WAYNE DAVIS (OWNER)
(386) 365-0809
Entity
Organization
Contact information
Practice address
238 SW CULLEN AVE, FORT WHITE, FL 32038-3536
(386) 497-1397
Mailing address
238 SW CULLEN AVE, FORT WHITE, FL 32038-3536
(386) 365-0809
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
01/23/2023
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