Individual
DR. AUDIE C FLORIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1204 E FIRE TOWER RD, GREENVILLE, NC 27858-4196
(252) 744-1122
(252) 744-1133
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017-01457
NC
207Q00000X
Family Medicine Physician
MD434468
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021807980001
—
PA
05
—
1124145214
—
NC
01
—
19RFQ
BCBS OF NC
NC
01
—
NCY8390280
MEDICARE
NC
Enumeration date
03/23/2007
Last updated
02/09/2024
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