Organization
CENTURY FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CASSIDY (OFFICE MANAGER)
(850) 256-9100
Entity
Organization
Contact information
Practice address
7600 MAYO ST, CENTURY, FL 32535-2905
(850) 256-9100
(850) 256-9006
Mailing address
PO BOX 266, CENTURY, FL 32535-0266
(850) 256-9100
(850) 256-9006
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME69541
FL
Other
Enumeration date
02/20/2007
Last updated
02/24/2009
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