| Lake Butler Family & Pediatric Clinic | |
|
575 Se 3rd Ave Lake Butler FL 32054-2647 | |
| (386) 496-1922 | |
| (386) 496-4777 |
| Full Name | Lake Butler Family & Pediatric Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 575 Se 3rd Ave, Lake Butler, Florida |
| Authorized Official Name and Position | Paula Gay Webb (PRESIDENT & CEO) |
| Authorized Official Contact | 3864962323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Butler Family & Pediatric Clinic Po Box 748 Lake Butler FL 32054-0748 Ph: (386) 496-1922 | Lake Butler Family & Pediatric Clinic 575 Se 3rd Ave Lake Butler FL 32054-2647 Ph: (386) 496-1922 |
| NPI Number | 1114188927 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 10/02/2020 |
| Medicare PECOS PAC ID | 2466360797 |
|---|---|
| Medicare Enrollment ID | O20080530000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114188927 | NPI | - | NPPES |
| 660083200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 800012290 (Florida) | 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 | |
Florida Department Of Health Union County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 495 E Main St, Lake Butler, FL 32054 Phone: 386-496-3211 Fax: 386-496-1599 | |
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 | |
1st Choice Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 W Main St, Lake Butler, FL 32054 Phone: 386-496-2273 | |
1st Choice Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 275 W Main St, Lake Butler, FL 32054 Phone: 864-962-2733 | |
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 |