Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Medical Clinic PA

Organization Family Medicine Physician · NPI 1437214541

Southern Medical Clinic PA is a Family Medicine Physician in Macclenny, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

32 S 5th St
Macclenny, FL 32063-2302
Phone: (904) 259-9377
Fax: (904) 259-9949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0047919 (FL)

Record details

NPI number1437214541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Bridgeman — President · (904) 259-9377
NPI enumeratedDecember 27, 2006
Last updated in NPPESMarch 13, 2012
Mailing address153 Laurina St, Jacksonville, FL 32216-9025

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