Tecson Family Practice Inc

NPI 1205097060 - Family Medicine - 207Q00000X

NPI Details
NPI 1205097060
Enumeration Date 06/24/2008
Last Updated 09/29/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ANGELITO B ANGELITO
Position OWNER
Phone (904) 259-3150
Fax (904) 259-7890
Practice Location
725 S 6TH ST
MACCLE
MACCLENNY FL, 32063, US
Phone (904) 259-3150
Fax (904) 259-7890
Business Location
725 S 6TH ST
MACCLENNY FL, 32063, US
Phone (904) 259-3150
Fax (904) 259-7890
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number 00ME28296
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According to our database, Tecson Family Practice Inc NPI is 1205097060, taxonomy code is 207Q00000X and license number is 00ME28296, license state is located at Florida. Tecson Family Practice Inc physically located at 725 S 6th St, Macclenny FL, 32063. NPI Number 1033115704 has the healthcare provider type.

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1205097060 NPI number is provided on an as is basis without warranty of any kind. 1205097060 is maintained by the National Plan & Provider Enumeration System. The contents of Tecson Family Practice Inc are for informational purposes only.