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495 E Main St Lake Butler FL 32054-1731 | |
| (386) 496-3211 | |
| (386) 496-1599 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 495 E Main St, Lake Butler, Florida |
| Authorized Official Name and Position | Joe Pietrangelo (ADMINISTRATOR) |
| Authorized Official Contact | 9049647732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
495 E Main St Lake Butler FL 32054-1731 Ph: (386) 496-3211 | 495 E Main St Lake Butler FL 32054-1731 Ph: (386) 496-3211 |
| NPI Number | 1366889040 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 09/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366889040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Marvin W. Johnson M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 E Main St, Lake Butler, FL 32054 Phone: 386-496-2406 Fax: 386-496-3362 | |
1st Choice Urgent Care Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 W Main St, Lake Butler, FL 32054 Phone: 386-496-2273 | |
Lake Butler Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 675 E Main St, Lake Butler, FL 32054 Phone: 386-496-1328 Fax: 386-496-2227 | |
Starke Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Se 6th Pl, Lake Butler, FL 32054 Phone: 386-496-1236 |