Organization
ST CROIX FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEMAINE DIANE OWEN M.D. (MANAGER/MEMBER)
(340) 692-2600
Entity
Organization
Contact information
Practice address
4500 SUNNY ISLE, CHRISTIANSTED, VI 00820-5173
(340) 692-2600
(340) 692-2602
Mailing address
RR 2 BOX 10565, SUITE 107, THE VILLAGE MALL, KINGSHILL, VI 00850-9604
(340) 692-2600
(340) 692-2602
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2-14663-1L
VI
Other
Enumeration date
01/04/2012
Last updated
05/16/2019
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