Dr John M Caroline, DO | |
619 S Marion Ave, Nf/sg Vhs Primary Care Lake City Va Medical Center, Lake City, FL 32025-5808 | |
(386) 755-3016 | |
(386) 754-7395 |
Full Name | Dr John M Caroline |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 619 S Marion Ave, Lake City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154394625 | NPI | - | NPPES |
82185 | Other | FL | BCBS |
268168400 | Medicaid | FL | |
291496 | Other | FL | AVMED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS9028 (Florida) | Primary |
Entity Name | Nautilus Health Care Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912013558 PECOS PAC ID: 5991604852 Enrollment ID: O20040108000803 |
Mailing Address | Practice Location Address |
---|---|
Dr John M Caroline, DO 619 S Marion Ave, Nf/sg Vhs Primary Care Lake City Va Medical Center, Lake City, FL 32025-5808 Ph: (386) 755-3016 | Dr John M Caroline, DO 619 S Marion Ave, Nf/sg Vhs Primary Care Lake City Va Medical Center, Lake City, FL 32025-5808 Ph: (386) 755-3016 |
Dr. Rafael Angel Gonzalez Castro, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-6352 | |
Todd A Fife, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 Fax: 386-758-6140 | |
Dr. Richard L Wright Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Sw Stonegate Ter Ste 101, Lake City, FL 32024 Phone: 386-755-0421 Fax: 386-487-1234 | |
Dr. Juan Ramon Santiagocolon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-7375 | |
Dr. Robert E Bell, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-719-3622 | |
Dr. Harish Ram Kotipoyina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 340 Nw Commerce Dr, Lake City, FL 32055 Phone: 386-719-9000 |