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1790116762
MAIN STREET MEDICAL CENTER
CRESTVIEW, FL
NPI
1790116762
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Entity Type
Organization
Authorized Contact
JOSHUA K KOLMETZ
President
850-398-6963
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2013-12-02
Last Update Date
2013-12-02
Business Address
MAIN STREET MEDICAL CENTER
369 N MAIN ST
CRESTVIEW, FL 32536-3541
Phone number: 850-398-6963
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Mailing Address
MAIN STREET MEDICAL CENTER
369 N MAIN ST
CRESTVIEW, FL 32536-3541
Phone number: 850-398-6963
Copy
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