Organization
DADE CITY PRIMARY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BO HADDLE (OPERATIONS MANAGER)
(727) 458-7461
Entity
Organization
Contact information
Practice address
36739 STATE ROAD 52, DADE CITY, FL 33525-5101
(727) 458-7461
Mailing address
36739 STATE ROAD 52, DADE CITY, FL 33525-5101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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