Putham Redicare

NPI 1053407734 - Clinic/Center - 261QU0200X

NPI Details
NPI 1053407734
Enumeration Date 10/04/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name A C A
Position MEDICAL DIRECTOR
Phone (386) 325-5955
Fax (386) 325-4818
Practice Location
6690 CRILL AVENUE
PALATKA FL, 32177, US
Phone (386) 325-5955
Fax (386) 325-4818
Business Location
6690 CRILL AVENUE
PALATKA FL, 32177, US
Phone (386) 325-5955
Fax (386) 325-4818
Toxanomy
Taxonomy Code 261QU0200X
License State Florida
License Number ME0022140
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According to our database, Putham Redicare NPI is 1053407734, taxonomy code is 261QU0200X and license number is ME0022140, license state is located at Florida. Putham Redicare physically located at 6690 Crill Avenue, Palatka FL, 32177. NPI Number 1033115704 has the healthcare provider type.

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1053407734 NPI number is provided on an as is basis without warranty of any kind. 1053407734 is maintained by the National Plan & Provider Enumeration System. The contents of Putham Redicare are for informational purposes only.