Organization
MAYO STREET MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN BACHMAN MD (PRESIDENT)
(888) 517-4992
Entity
Organization
Contact information
Practice address
7600 MAYO ST STE A, CENTURY, FL 32535-2905
(888) 517-4992
(252) 377-4231
Mailing address
7600 MAYO ST STE A, CENTURY, FL 32535-2905
(888) 517-4992
(252) 377-4231
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/31/2015
Last updated
01/31/2015
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