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Mr. Andrew Clyde Bass, MEDICALDOCTOR
General Practice Physician in Live Oak, Florida
NPI 1912978693

Andrew Clyde Bass is a General Practice Physician based in Live Oak, FL. Andrew Clyde Bass practices in Live Oak, FL and has the professional credentials of MEDICALDOCTOR. The NPI Number for Andrew Clyde Bass is 1912978693 and holds a License No. ME0017754 (Florida).

The current practice location address for Andrew Clyde Bass is 315 South Scriven Ave, Live Oak, FL and can be reached out via phone at 386-362-4822 and via fax at 386-364-3534.

Location: 315 South Scriven Ave, Live Oak, FL, 32064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912978693
Provider Name
Andrew Clyde Bass
Credential
MEDICALDOCTOR
Provider Entity Type
Individual
Gender
Male
Address
315 South Scriven Ave, Live Oak, FL, 32064
Phone Number
386-362-4822
Fax Number
386-364-3534
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16856 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
315 South Scriven Ave
City
Live Oak
State
Florida
Zip
32064
Phone Number
386-362-4822
Fax Number
386-364-3534
person
Provider Business Mailing Address Details
Address
315 South Scriven Ave
City
Live Oak
State
Florida
Zip
32064
Phone Number
386-362-4822
Fax Number
386-364-3534
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ME0017754 (Florida)
Definition
Definition to come...
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