institution
Graceville Family Medicine Inc
Family Nurse Practitioner in Graceville, Florida
NPI 1154691566

Graceville Family Medicine Inc is a Family Nurse Practitioner based in Graceville, FL and is specialized in Family. Graceville Family Medicine Inc practices in Graceville, FL. The NPI Number for Graceville Family Medicine Inc is 1154691566 and holds a License No. 9321958 (Florida).

The current practice location address for Graceville Family Medicine Inc is 5239 Brown St, Graceville, FL and can be reached out via phone at 850-360-4909 and via fax at 850-360-4911.

Location: 5239 Brown St, Graceville, FL, 32440-2513
institution
Provider Profile Details
NPI Number
1154691566
Provider Name
Graceville Family Medicine Inc
Credential
Provider Entity Type
Organization
Address
5239 Brown St, Graceville, FL, 32440-2513
Phone Number
850-360-4909
Fax Number
850-360-4911
Provider Enumeration Date
01/03/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13075500 05 FL
Y0042 01 FL BLUE CROSS
51051874 01 AL BC/BS OF ALABAMA
Y0042V 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5239 Brown St
City
State
Zip
32440-2513
Phone Number
850-360-4909
Fax Number
850-360-4911
person
Provider Business Mailing Address Details
Address
5239 Brown St
City
State
Zip
32440-2513
Phone Number
850-360-4909
Fax Number
850-360-4911
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
9321958 (Florida)
Definition
Definition to come...
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