Organization
VILLAGE DOCTORS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER DAVID SIKES JR. DC (OWNER)
(904) 964-5455
Entity
Organization
Contact information
Practice address
100 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656-9215
(352) 473-9373
(352) 473-0037
Mailing address
100 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656-9215
(352) 473-9373
(352) 473-0037
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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