| Emmanuel Christian Health Center Pa | |
|
918 Rolling Acres Rd Suite 1 Lady Lake FL 32159-5027 | |
| (352) 259-1991 | |
| Not Available |
| Full Name | Emmanuel Christian Health Center Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 918 Rolling Acres Rd, Lady Lake, Florida |
| Authorized Official Name and Position | Vivian J Woodard (OWNER OPERATOR) |
| Authorized Official Contact | 3522591991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel Christian Health Center Pa 918 Rolling Acres Rd Suite 1 Lady Lake FL 32159-5027 Ph: (352) 259-1991 | Emmanuel Christian Health Center Pa 918 Rolling Acres Rd Suite 1 Lady Lake FL 32159-5027 Ph: (352) 259-1991 |
| NPI Number | 1750499943 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 01/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750499943 | NPI | - | NPPES |
| 257686400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 53291 (Florida) | Primary |
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