Organization
GADSDEN FAMILY CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA CAMACHO RAMOS M.D. (CEO)
(850) 875-2125
Entity
Organization
Contact information
Practice address
304 E JEFFERSON ST, QUINCY, FL 32351-2530
(850) 875-2125
(850) 875-4689
Mailing address
304 E JEFFERSON ST, QUINCY, FL 32351-2530
(850) 875-2125
(850) 875-4689
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME 0029888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036738900
—
FL
Enumeration date
02/24/2010
Last updated
06/23/2011
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