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601 S Florida Ave Suite 6 Lakeland FL 33801-5237 | |
(863) 688-0841 | |
(863) 616-9709 |
Full Name | |
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Speciality | Clinic/Center |
Location | 601 S Florida Ave, Lakeland, Florida |
Authorized Official Name and Position | Ann Claussen (CEO) |
Authorized Official Contact | 8632915110 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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47 5th St Nw Winter Haven FL 33881-4672 Ph: (863) 291-5110 | 601 S Florida Ave Suite 6 Lakeland FL 33801-5237 Ph: (863) 688-0841 |
NPI Number | 1851751549 |
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Provider Enumeration Date | 02/24/2016 |
Last Update Date | 01/25/2019 |
Medicare PECOS PAC ID | 0143127951 |
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Medicare Enrollment ID | O20160930000347 |
Identifier | Type | State | Issuer |
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1851751549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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