Organization · Type 2 NPI
Mayo Street Medical, Inc
General Practice Physician · Century, FL
NPI number
1164812962
Active
Practice location
7600 Mayo St Ste A
Century, FL 32535-2905
Fax (252) 377-4231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1164812962
Mayo Street Medical, Inc's National Provider Identifier is 1164812962, issued on Jan 31, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Century, FL. The record was last updated on Jan 31, 2015.