Organization
STARKE FAMILY MEDICAL CENTER INC
Active
Parent organization
STARKE FAMILY MEDICAL CENTER, INC.
Other names
Village Doctors
Organization subpart
Yes
Provider details
NPI number
Legal business name
STARKE FAMILY MEDICAL CENTER, INC.
Authorized official
MICHELE DENISE BAZILE (DIRECTOR)
(904) 964-5455
Entity
Organization
Contact information
Practice address
175 N LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656-9351
(352) 473-3199
Mailing address
345 W MADISON ST, STARKE, FL 32091-3923
(904) 964-5455
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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