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Organization

MEDEX PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LYNN H. DENNIS (OFFICE ADMINISTRATOR)
(386) 326-0575
Entity
Organization

Contact information

Practice address
6500 CRILL AVE, BLDG 3 STE 1, PALATKA, FL 32177-9230
(386) 326-0575
(386) 326-0571
Mailing address
6500 CRILL AVE, BUILDING 3 SUTE 1, PALATKA, FL 32177-9230
(386) 326-0575
(386) 326-0571

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME54477
FL

Other

Enumeration date
12/23/2011
Last updated
12/23/2011
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