| Carehere City Of Lake Mary | |
|
170 Seminole Ave Lake Mary FL 32746-2929 | |
| (407) 302-0046 | |
| Not Available |
| Full Name | Carehere City Of Lake Mary |
|---|---|
| Speciality | Family Medicine |
| Location | 170 Seminole Ave, Lake Mary, Florida |
| Authorized Official Name and Position | Ernie Clevenger (PRESIDENT) |
| Authorized Official Contact | 6152215901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carehere City Of Lake Mary 5141 Virginia Way Ste 350 Brentwood TN 37027-2319 Ph: () - | Carehere City Of Lake Mary 170 Seminole Ave Lake Mary FL 32746-2929 Ph: (407) 302-0046 |
| NPI Number | 1821332172 |
|---|---|
| Provider Enumeration Date | 11/26/2012 |
| Last Update Date | 11/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821332172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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