Organization
AMERICAN MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARI JO HOMKO (BUSINESS MANAGER)
(727) 868-9563
Entity
Organization
Contact information
Practice address
7315 HUDSON AVE, HUDSON, FL 34667-1158
(727) 868-9563
(727) 869-6909
Mailing address
PO BOX 5477, HUDSON, FL 34674-5477
(727) 868-9563
(727) 869-6909
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38935
BLUE CROSS
FL
Enumeration date
08/31/2006
Last updated
03/31/2015
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