MEDEX PRIMARY CARE NPI 1174892830

NPI Information

MEDEX PRIMARY CARE is a primary care clinic center in Palatka, FL. MEDEX PRIMARY CARE NPI is 1174892830. The provider is registered as an organization entity type.

The provider's business location address is:

6500 CRILL AVE
BLDG 3 STE 1
PALATKA, FL
ZIP 32177-230
Phone: (386) 326-0575
Fax: (386) 326-0571

The provider's authorized official is Lynn H. Dennis .
The authorized official title is Office Administrator and has the following contact phone number (386) 326-0575.

The enumeration date for this NPI number is 12/23/2011 and was last updated on 12/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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