| Glades Convenient Care Center | |
|
51 Avenue J. Suite 101 Moore Haven FL 33471-1113 | |
| (863) 946-1000 | |
| (863) 946-1006 |
| Full Name | Glades Convenient Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 51 Avenue J., Moore Haven, Florida |
| Authorized Official Name and Position | Harriett Louise Rice (PRESIDENT) |
| Authorized Official Contact | 8639461000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glades Convenient Care Center Po Box 1113 51 Avenue J, Suite 101 Moore Haven FL 33471-1113 Ph: (863) 946-1000 | Glades Convenient Care Center 51 Avenue J. Suite 101 Moore Haven FL 33471-1113 Ph: (863) 946-1000 |
| NPI Number | 1932453982 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 03/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932453982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS57165 (Florida) | Primary |
| 363A00000X | Physician Assistant | 9104703 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 9101638 (Florida) | Secondary |
Johnson Riverside Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 43 Avenue J, Moore Haven, FL 33471 Phone: 863-599-1620 | |
Riverside Glades Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Avenue J Sw, -mail Not Delivered To This Rural Address, Moore Haven, FL 33471 Phone: 863-946-1000 Fax: 863-946-1110 |