| Freedom Health And Wellness Of Lake City, Llc | |
|
263 Sw Professional Gln Lake City FL 32025-1105 | |
| (386) 623-0850 | |
| Not Available |
| Full Name | Freedom Health And Wellness Of Lake City, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 263 Sw Professional Gln, Lake City, Florida |
| Authorized Official Name and Position | Misty Herndon (OWNER) |
| Authorized Official Contact | 3866230850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Health And Wellness Of Lake City, Llc 263 Sw Professional Gln Lake City FL 32025-1105 Ph: (386) 623-0850 | Freedom Health And Wellness Of Lake City, Llc 263 Sw Professional Gln Lake City FL 32025-1105 Ph: (386) 623-0850 |
| NPI Number | 1396259735 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 03/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396259735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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