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Organization

HISCARE CLINIC LLC

Active
Other names
Hiscare Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA MCFARLAND (CEO/ADMINISTRATOR)
(850) 693-3055
Entity
Organization

Contact information

Practice address
4577 COLLINS RD, MARIANNA, FL 32448-5030
(850) 693-3055
(850) 482-5208
Mailing address
4577 COLLINS RD, MARIANNA, FL 32448-5030
(850) 693-3055
(850) 482-5208

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
305R00000X
Preferred Provider Organization
305S00000X
Point of Service

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HISCARE07
FL
Enumeration date
11/05/2012
Last updated
11/05/2012
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