Gcmg Laurel Primary Care Clinic | |
2446 Laurel Rd E North Venice FL 34275-3204 | |
(941) 218-6200 | |
(941) 218-6182 |
Full Name | Gcmg Laurel Primary Care Clinic |
---|---|
Speciality | Family Medicine |
Location | 2446 Laurel Rd E, North Venice, Florida |
Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
Authorized Official Contact | 6154653334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gcmg Laurel Primary Care Clinic Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Gcmg Laurel Primary Care Clinic 2446 Laurel Rd E North Venice FL 34275-3204 Ph: (941) 218-6200 |
NPI Number | 1518535137 |
---|---|
Provider Enumeration Date | 06/11/2021 |
Last Update Date | 03/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518535137 | NPI | - | NPPES |
277033444 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Pgt Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3439 Technology Dr, North Venice, FL 34275 Phone: 941-486-0100 Fax: 941-488-8358 |