FAMILY MEDICAL CARE OF PALM COAST LLC

PALM COAST, FL
NPI1912177577
Entity TypeOrganization
Authorized ContactANTONIO SISON VICENCIO
Sole Proprietor
386-586-3466
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2008-03-10
Last Update Date2008-09-10
Business Address
FAMILY MEDICAL CARE OF PALM COAST LLC
21 HOSPITAL DR SUITE 230
PALM COAST, FL 32164-2452
Phone number: 386-586-3466
Mailing Address
FAMILY MEDICAL CARE OF PALM COAST LLC
PO BOX 354339
PALM COAST, FL 32135-4339
Phone number: 386-586-3466
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