| Organization Name: | DOCTORS CLINIC FAMILY HEALTH CENTER, LLC |
| NPI Number: | 1548559214 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAMMY LEE JOHNSON (OFFICE MANAGER) |
| Mailing Address: | 204 Se Park St Okeechobee |
| State: | FL US |
| Postal Code: | 349722967 |
| Phone Number: | 8637631107 |
| Fax Number: | 8637632630 |
| NPI Enumeration Date: | 04/04/2011 |
| NPI Last Update Date: | 04/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME0045700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |