Organization
CAREMED CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DEMATTEO (CREDENTIALING SPECIALIST)
(330) 758-2775
Entity
Organization
Contact information
Practice address
951 PRIM AVE STE 20, GRACEVILLE, FL 32440-2500
(850) 526-3314
Mailing address
4719 HIGHWAY 90, MARIANNA, FL 32446-7839
(850) 526-3314
(850) 526-5022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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