Organization
ECHO MANAGED CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PAUL SHADDOCK (STRATEGY AND DEVELOPMENT OFFICER)
(850) 341-6322
Entity
Organization
Contact information
Practice address
100 ARRICOLA AVE, SAINT AUGUSTINE, FL 32080-4515
(904) 825-4368
Mailing address
100 ARRICOLA AVE, SAINT AUGUSTINE, FL 32080-4515
(904) 825-4368
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
08/05/2021
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