Organization
AC MEDICAL PROVIDER, INC.
Active
Parent organization
TREASURE COAST MEDICAL ASSOICATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
TREASURE COAST MEDICAL ASSOICATES
Authorized official
COLLEEN B PARKHURST (DIRECTOR OF OPERATIONS)
(772) 692-8082
Entity
Organization
Contact information
Practice address
4340 W NEWBERRY RD, GAINESVILLE, FL 32607-2586
(772) 692-8082
Mailing address
3405 NW FEDERAL HWY, JENSEN BEACH, FL 34957
(772) 692-8082
(772) 232-9383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME74643
FL
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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