| Stables On Buck Lake Llc | |
|
9400 Buck Lake Rd Tallahassee FL 32317-8470 | |
| (850) 629-6565 | |
| Not Available |
| Full Name | Stables On Buck Lake Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9400 Buck Lake Rd, Tallahassee, Florida |
| Authorized Official Name and Position | Spencer Brass (OWNER) |
| Authorized Official Contact | 8506296565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stables On Buck Lake Llc 9400 Buck Lake Rd Tallahassee FL 32317-8470 Ph: (850) 629-6565 | Stables On Buck Lake Llc 9400 Buck Lake Rd Tallahassee FL 32317-8470 Ph: (850) 629-6565 |
| NPI Number | 1245055847 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 11/19/2024 |
| Certification Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245055847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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