| Lake Health Care Center Inc | |
|
910 Mount Homer Rd, Eustis, FL 32726-6258 | |
| (352) 357-8615 | |
| Not Available |
| Full Name | Lake Health Care Center Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 910 Mount Homer Rd, Eustis, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104829316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | NOTREQUIRED (Florida) | Primary |
| 207Q00000X | Family Medicine | NOTREQUIRED (Florida) | Secondary |
| 213E00000X | Podiatrist | NOTREQUIRED (Florida) | Secondary |
| Provider Name | James R Glisson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396740528 PECOS PAC ID: 2062502974 Enrollment ID: I20100803001073 |
| Provider Name | James S Fernandes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154326981 PECOS PAC ID: 1951434406 Enrollment ID: I20100804000283 |
| Provider Name | Victor M Torres |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306841119 PECOS PAC ID: 6800936519 Enrollment ID: I20100804000326 |
| Provider Name | John F Heiligenthal |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528063757 PECOS PAC ID: 9436282993 Enrollment ID: I20100804000392 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Health Care Center Inc 910 Mount Homer Rd, Eustis, FL 32726-6258 Ph: (352) 357-8615 | Lake Health Care Center Inc 910 Mount Homer Rd, Eustis, FL 32726-6258 Ph: (352) 357-8615 |
Dr. Bryan Kent Stoltz, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2105 Prevatt St, Eustis, FL 32726 Phone: 352-357-7955 Fax: 352-357-7254 | |
Dr. Bonnie Lynn Barnhart, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16 N Eustis St, Eustis, FL 32726 Phone: 201-759-7591 Fax: 352-357-3028 | |
James Fernandes, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 910 Mount Homer Rd, Eustis, FL 32726 Phone: 352-357-8615 Fax: 357-357-5873 | |
Dr. Vilam Benahim, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 925 Bay St., Eustis, FL 32726 Phone: 352-589-6307 | |
Mr. Rick Dale Brown, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2701 Kurt St, Eustis, FL 32726 Phone: 352-357-1122 Fax: 352-357-3466 | |
Dr. Gary Kent Stoltz, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2105 Prevatt St, Eustis, FL 32726 Phone: 352-357-7955 Fax: 352-357-7254 |