Lake Butler Medical Clinic Inc | |
675 E Main St Lake Butler FL 32054-1352 | |
(386) 496-1328 | |
(386) 496-2227 |
Full Name | Lake Butler Medical Clinic Inc |
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Speciality | Clinic/Center |
Location | 675 E Main St, Lake Butler, Florida |
Authorized Official Name and Position | Martha Regina Lloyd (PHYSICIAN) |
Authorized Official Contact | 3864961328 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lake Butler Medical Clinic Inc Po Box 188 Lake Butler FL 32054-0188 Ph: (386) 496-1328 | Lake Butler Medical Clinic Inc 675 E Main St Lake Butler FL 32054-1352 Ph: (386) 496-1328 |
NPI Number | 1871582296 |
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Provider Enumeration Date | 10/18/2005 |
Last Update Date | 06/29/2010 |
Medicare PECOS PAC ID | 5698849404 |
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Medicare Enrollment ID | O20080728000571 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871582296 | NPI | - | NPPES |
266578600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | ME81421 (Florida) | Primary |
Provider Name | Martha Lloyd |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669660965 PECOS PAC ID: 1355415167 Enrollment ID: I20080728000550 |
Provider Name | Tammy J Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285877258 PECOS PAC ID: 0749467959 Enrollment ID: I20110615000291 |
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 | |
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 |