Organization
DOUGLAS M TEW MD LLC
Active
Other names
Douglas M Tew MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS M TEW MD (OWNER)
(904) 945-1224
Entity
Organization
Contact information
Practice address
2 PAVILION PLACE, PENNEY FARMS, FL 32079
(904) 945-1224
Mailing address
2301 PARK AVE STE 209, ORANGE PARK, FL 32073-5558
(904) 945-1224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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