NPI: 1316497530
Provider Name: MENDING FENCES
Doing Business As: MENDING FENCES, LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization
Specialization: Addiction Medicine
Address:
15530 W HIGHWAY 326
MORRISTON, FL
ZIP 32668
Phone: (352) 528-1300
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MENDING FENCES is an addiction medicine family medicine in Morriston, FL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. MENDING FENCES NPI is 1316497530. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mending Fences, Llc.
The provider's business location address is:
15530 W HIGHWAY 326
MORRISTON, FL
ZIP 32668-311
Phone: (352) 528-1300
Fax: (352) 528-0651
The provider's authorized official is Tilman Mears .
The authorized official title is Interim Ceo and has the following contact phone number (352) 528-2801.
The enumeration date for this NPI number is 10/12/2016 and was last updated on 5/8/2018.