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1013025022
RIDGE MANOR FAMILY MEDICINE,LLC
BROOKSVILLE, FL
NPI
1013025022
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Entity Type
Organization
Authorized Contact
MARK D BOWDEN
Physician/Owner
352-796-5303
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS6302)
Enumeration Date
2006-08-29
Last Update Date
2020-08-22
Business Address
RIDGE MANOR FAMILY MEDICINE,LLC
31158 CORTEZ BLVD
BROOKSVILLE, FL 34602-7552
Phone number: 352-796-5303
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Mailing Address
RIDGE MANOR FAMILY MEDICINE,LLC
31158 CORTEZ BLVD
BROOKSVILLE, FL 34602-7552
Phone number: 352-796-5303
Copy
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