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NPI Code Detail

MEDICARE: THE DOCTORS' OFFICE, P.A.

MEDICARE: THE DOCTORS' OFFICE, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1508997743
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE DOCTORS' OFFICE, P.A.
Provider Business Mailing Address
First Line : 4295 3RD AVE
Second Line :
City : MARIANNA
State : FL
Zip : 32446-2120
Country : US
Telephone Number : 850-526-3400
Fax Number : 850-526-4450
Provider Business Practice Location Address
First Line : 4295 3RD AVE
Second Line :
City : MARIANNA
State : FL
Zip : 32446-2120
Country : US
Telephone Number : 850-526-3400
Fax Number : 850-526-4450
Authorized Official
Title or Position : OFFICE ADMINISTRATOR
Name : MS. LISA REENE' COLLINS
Credential :
Telephone Number : 850-526-3400
Provider Enumeration Date : 03/08/2007
Last Update Date : 08/22/2020

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Directions to “THE DOCTORS' OFFICE, P.A. ” Practice Location

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