| Children's Medical Center | |
|
789 W Duval St Lake City FL 32055-3811 | |
| (386) 755-1546 | |
| (386) 755-2283 |
| Full Name | Children's Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 789 W Duval St, Lake City, Florida |
| Authorized Official Name and Position | Andres R Villar (ADMINISTRATOR) |
| Authorized Official Contact | 3867555044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Medical Center Po Box 606 Glen St Mary FL 32040-0606 Ph: (904) 653-1818 | Children's Medical Center 789 W Duval St Lake City FL 32055-3811 Ph: (386) 755-1546 |
| NPI Number | 1497754154 |
|---|---|
| Provider Enumeration Date | 07/15/2005 |
| Last Update Date | 07/22/2021 |
| Medicare PECOS PAC ID | 5092623439 |
|---|---|
| Medicare Enrollment ID | O20041014001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497754154 | NPI | - | NPPES |
| 370861604 | Other | FL | MEDICAID RURAL HEALTH CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ernest De Leon, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 | |
Richard Weizenecker, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1297 Sw State Road 47, Lake City, FL 32025 Phone: 386-752-4711 Fax: 386-752-5075 | |
Palms Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 173 Nw Albritton Ln, Lake City, FL 32055 Phone: 386-755-4020 Fax: 386-752-9143 | |
Artemis Billing Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 Sw Loren Ct, Lake City, FL 32024 Phone: 772-404-8426 Fax: 772-209-7667 | |
Internal Medicine Of Lake City , Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 Sw Commerce Dr, Suite 2, Lake City, FL 32025 Phone: 386-755-1703 Fax: 386-755-1744 | |
Randolph Medical Practices Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1847 Sw Barnett Way, Lake City, FL 32025 Phone: 386-755-1440 Fax: 386-758-5628 | |
Raimah Primary Care Center Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1283 Sw State Road 47, 103, Lake City, FL 32025 Phone: 386-754-0339 Fax: 386-754-0393 |