| Bushnell Family Practice | |
|
117 W Belt Ave Suite A Bushnell FL 33513-5105 | |
| (352) 568-1988 | |
| (352) 568-2427 |
| Full Name | Bushnell Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 W Belt Ave, Bushnell, Florida |
| Authorized Official Name and Position | Firoz Uddin (PRACTICE MANAGER) |
| Authorized Official Contact | 3525681988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bushnell Family Practice 117 W Belt Ave Suite A Bushnell FL 33513-5105 Ph: (352) 568-1988 | Bushnell Family Practice 117 W Belt Ave Suite A Bushnell FL 33513-5105 Ph: (352) 568-1988 |
| NPI Number | 1255477360 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 06/02/2008 |
| Medicare PECOS PAC ID | 8426966854 |
|---|---|
| Medicare Enrollment ID | O20021113000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255477360 | NPI | - | NPPES |
| 38227A | Other | FL | BCBS |
| 660062000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | ME0066026 (Florida) | Primary |
Clark Ltc Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 S Florida St, Bushnell, FL 33513 Phone: 352-793-2441 | |
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Clark Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 S Florida St, Bushnell, FL 33513 Phone: 352-793-2441 Fax: 352-793-2649 | |
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