| Organization Name: | DOCTORS MEMORIAL HOSPITAL INC |
| NPI Number: | 1487613121 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN TIDWELL (CLINIC MANAGER) |
| Mailing Address: | 113 E Main St Mayo |
| State: | FL US |
| Postal Code: | 320664808 |
| Phone Number: | 3862942475 |
| Fax Number: | 3862942478 |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 11/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 660123500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |