MEDICARE: AFTER HOURS CARE PA

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
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1588864995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFTER HOURS CARE PA

Provider Business Mailing Address
First Line	:	PO BOX 68
Second Line	:
City	:	STARKE
State	:	FL
Zip	:	32091-0068
Country	:	US
Telephone Number	:	904-966-2400
Fax Number	:	904-966-2407

Provider Business Practice Location Address
First Line	:	319 W CALL ST
Second Line	:	SUITE A
City	:	STARKE
State	:	FL
Zip	:	32091-3113
Country	:	US
Telephone Number	:	904-966-2400
Fax Number	:	904-966-2407

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MRS. TINA ELIZABETH BATTLES
Credential	:	RN
Telephone Number	:	904-966-2400

Provider Enumeration Date	:	07/23/2007
Last Update Date	:	07/24/2007

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Directions to “AFTER HOURS CARE PA ” Practice Location

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