BLAINE PAYNE, INC
Osteopathic Medicine at Haynes St, Madison, FL

License number
Florida OS9255
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: TAMMEY REVELS
Title: BUSINESS MANAGER
Phone: (850) 973-1215
Address
Address
180 NW Haynes St, Madison, FL 32340
National Provider ID: 1770943409
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BLAINE PAYNE, INC at bizstanding.com

Blaine Payne, Inc

309 NE Marion St, Madison, FL 32340

Registration:
May 20, 2014
State ID:
P14000045295
Business type:
Domestic for Profit Corporation
President, Treasurer:
Theresa B. Payne (President, Treasurer)
Agent:
Angela M. Ball, Pa

Osteopathic Medicine licenses in Florida







Other Doctors licenses in Florida