Lotus Learning & Arts Center | |
417 Racetrack Rd Nw Ste C Fort Walton Beach FL 32547-4612 | |
(251) 605-1017 | |
Not Available |
Full Name | Lotus Learning & Arts Center |
---|---|
Speciality | Community/behavioral Health |
Location | 417 Racetrack Rd Nw Ste C, Fort Walton Beach, Florida |
Authorized Official Name and Position | Jocelyn Thomas (BILLING/CREDENTIALING MANAGER) |
Authorized Official Contact | 2012410079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lotus Learning & Arts Center Po Box 259 Shalimar FL 32579-0259 Ph: () - | Lotus Learning & Arts Center 417 Racetrack Rd Nw Ste C Fort Walton Beach FL 32547-4612 Ph: (251) 605-1017 |
NPI Number | 1255912812 |
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Provider Enumeration Date | 04/15/2021 |
Last Update Date | 05/02/2023 |
Certification Date | 05/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255912812 | NPI | - | NPPES |
020786000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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