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109 W Wall St Frostproof FL 33843-2043 | |
| (866) 234-8534 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Pharmacy |
| Location | 109 W Wall St, Frostproof, Florida |
| Authorized Official Name and Position | Ann Claussen (CEO) |
| Authorized Official Contact | 8632915110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
47 5th St Nw Winter Haven FL 33881-4672 Ph: (863) 268-7850 | 109 W Wall St Frostproof FL 33843-2043 Ph: (866) 234-8534 |
| NPI Number | 1740786532 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 04/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740786532 | NPI | - | NPPES |
| 2176669 | Other | PK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 333600000X | Pharmacy | (* (Not Available)) | Primary |
Jarquin Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N Scenic Hwy, Frostproof, FL 33843 Phone: 863-635-4100 Fax: 863-635-4499 | |
Alvaro J Jarquin Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N Scenic Hwy #300, Frostproof, FL 33843 Phone: 863-635-4100 Fax: 863-635-4499 |