Organization
THREE RIVERS MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES F COLE BA (ADMINISTRATOR)
(386) 935-1607
Entity
Organization
Contact information
Practice address
208 SUWANNEE AVE NW, BRANFORD, FL 32008-3265
(386) 935-1607
(386) 935-1667
Mailing address
208 SUWANNEE AVE NW, BRANFORD, FL 32008-3265
(386) 935-1607
(386) 935-1667
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660195200
—
FL
Enumeration date
05/22/2006
Last updated
01/07/2014
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