SOUTHERN MEDICAL CLINIC PA
Marriage and Family Therapists at 5 St, Macclenny, FL

License number
Florida ME0047919
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MRS. KATHLEEN BRIDGEMAN
Title: PRESIDENT
Phone: (904) 259-9377
Address
Address 2
32 S 5Th St, Macclenny, FL 32063
153 Laurina St, Jacksonville, FL 32216
National Provider ID: 1437214541
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Southern Medical Clinic PA

6712 Atlantic Blvd, Jacksonville, FL 32211

Industry:
Medical Doctor's Office
Principal:
Kathleen R. Bridgeman (Principal)

Southern Medical Clinic

Macclenny, FL  -  Jacksonville, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Southern Medical Clinic, PA
Registration:
Dec 16, 2005
Addresses:
32 S 5 St, Macclenny, FL 32063
153 Laurina St, Jacksonville, FL 32216
State ID:
P05000163694
Business type:
Domestic for Profit Corporation
Family Practitioners:
Andrew Bridgeman Medical Doctor, President, Principal, Vice President, inactive,Teresa Mcneal Assistant, Medical Assistant, Office Manager, inactive,Michele Long Medical Assistant, inactive,...
Agent:
Kathleen R. Bridgeman

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