| Children's Medical Center | |
|
1002 11th St Sw Live Oak FL 32064-3606 | |
| (386) 364-8050 | |
| (386) 364-7068 |
| Full Name | Children's Medical Center |
|---|---|
| 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 | Practice Location Address |
|---|---|
| Children's Medical Center Po Box 606 Glen St Mary FL 32040-0606 Ph: (904) 653-1818 | Children's Medical Center 1002 11th St Sw Live Oak FL 32064-3606 Ph: (386) 364-8050 |
| NPI Number | 1295829398 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 07/22/2021 |
| Medicare PECOS PAC ID | 5092623439 |
|---|---|
| Medicare Enrollment ID | O20041014001074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295829398 | NPI | - | NPPES |
| 370861601 | Other | FL | MEDICAID RURAL HEALTH CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Acv Community Services Ll Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10820 Marvin E Jones Blvd, Live Oak, FL 32060 Phone: 386-658-5341 | |
Palms Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 Ranchera St Nw, Live Oak, FL 32064 Phone: 386-364-1751 Fax: 386-364-1761 | |
Horizon Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Demorest St Se, Live Oak, FL 32064 Phone: 386-362-5437 Fax: 386-362-5440 | |
Copeland Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10820 Marvin E. Jones Blvd., Live Oak, FL 32060 Phone: 386-658-5550 Fax: 386-658-5666 | |
Shands Medical Group Of Live Oak-rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1426 Canyon Ave Ne, Unit B, Live Oak, FL 32064 Phone: 386-208-0537 | |
Renaldas Smidtas Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1437 N Ohio Ave, Live Oak, FL 32064 Phone: 386-362-5840 | |
Gomedical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Howard St E, Live Oak, FL 32064 Phone: 786-873-7045 |