Organization
FAMILY WELLNESS CENTER GCS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL SCOTT DO (OWNER)
(904) 621-0247
Entity
Organization
Contact information
Practice address
3189 HIGHWAY 17, GREEN COVE SPRINGS, FL 32043-9371
(904) 621-0247
Mailing address
3189 HIGHWAY 17, GREEN COVE SPRINGS, FL 32043-9371
(904) 621-0247
(904) 339-9945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
09/21/2022
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