Organization
MIDIWELL
Active
Other names
Telewell DPC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TELICIA FISHER APRN (OWNER/OPERATOR)
(904) 534-4279
Entity
Organization
Contact information
Practice address
806 LAUREL VALLEY DR, ORANGE PARK, FL 32065-2708
(866) 884-9646
Mailing address
806 LAUREL VALLEY DR, ORANGE PARK, FL 32065-2708
(866) 884-9646
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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