| Copeland Clinic | |
|
10820 Marvin E. Jones Blvd. Live Oak FL 32060-5890 | |
| (386) 658-5550 | |
| (386) 658-5666 |
| Full Name | Copeland Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 10820 Marvin E. Jones Blvd., Live Oak, Florida |
| Authorized Official Name and Position | Craig A. Carter (PRESIDENT/CEO) |
| Authorized Official Contact | 3866585500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Copeland Clinic Po Box 4675 Dowling Park FL 32064-1507 Ph: (386) 658-5450 | Copeland Clinic 10820 Marvin E. Jones Blvd. Live Oak FL 32060-5890 Ph: (386) 658-5550 |
| NPI Number | 1174630693 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 10/06/2008 |
| Medicare PECOS PAC ID | 3476462078 |
|---|---|
| Medicare Enrollment ID | O20031013000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174630693 | NPI | - | NPPES |
| 230620 | Other | FL | AVMED |
| W01 | Other | FL | BCBS CLINIC UB92 |
| 029511600 | Medicaid | FL | |
| 379125400 | Medicaid | FL |
| 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 | |
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 |