<unavail> in Live Oak, FL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Live Oak, Florida. The current practice location for is 1002 11th St Sw, Live Oak, Florida. For appointments, you can reach them via phone at (386) 364-8050. The mailing address for is Po Box 606, Glen St Mary, Florida and phone number is (904) 653-1818.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1295829398. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (386) 364-8050.

Contact Information


	1002 11th St Sw Live Oak FL 32064-3606
	(386) 364-8050
	(386) 364-7068

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1002 11th St Sw, Live Oak, 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 and Practice Location

Mailing Address	Practice Location Address
Po Box 606 Glen St Mary FL 32040-0606 Ph: (904) 653-1818	1002 11th St Sw Live Oak FL 32064-3606 Ph: (386) 364-8050

NPI Details:

NPI Number	1295829398
Provider Enumeration Date	10/03/2006
Last Update Date	07/22/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	5092623439
Medicare Enrollment ID	O20041014001074

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295829398	NPI	-	NPPES
370861601	Other	FL	MEDICAID RURAL HEALTH CLINIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Live Oak, FL

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- Medicare Primary Care in Live Oak, FL