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Organization

DOCTORS MEMORIAL HOSPITAL INC

Active
Other names
DMH Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN TIDWELL (CLINIC MANAGER)
(850) 223-5409
Entity
Organization

Contact information

Practice address
555 N BYRON BUTLER PKWY, PERRY, FL 32347-2315
(850) 223-5400
(850) 223-5401
Mailing address
555 N BYRON BUTLER PKWY, PERRY, FL 32347-2315
(850) 223-5400
(850) 223-5401

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
660124300
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10D079975
CLIA
FL
Enumeration date
06/04/2006
Last updated
11/27/2012
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