Organization
APALACHEE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN DENISE SHEPPARD MS (PROGRAM SUPERVISOR)
(850) 997-3958
Entity
Organization
Contact information
Practice address
1996 S JEFFERSON HWY, MONTICELLO, FL 32344-5100
(850) 997-3958
(850) 997-0983
Mailing address
1996 S JEFFERSON HWY, MONTICELLO, FL 32344-5100
(850) 997-3958
(850) 997-0983
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
101YM0800X
FL
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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