Organization
FIDELITY MEDICAL SERVICES PLC DBA MID-TOWN CENTER FOR HEALTH
Active
Other names
Mid-Town Center For Health
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WILLIS (PARTNER)
(904) 421-2119
Entity
Organization
Contact information
Practice address
701 OHIO AVE S, LIVE OAK, FL 32064-3816
(386) 330-5248
Mailing address
701 OHIO AVE S, LIVE OAK, FL 32064-3816
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Enumeration date
01/08/2007
Last updated
07/21/2022
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