| Lakeview Family Medicine | |
|
3680 Sangani Blvd Diberville MS 39540-8703 | |
| (228) 354-9300 | |
| (228) 354-9301 |
| Full Name | Lakeview Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3680 Sangani Blvd, Diberville, Mississippi |
| Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Family Medicine 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | Lakeview Family Medicine 3680 Sangani Blvd Diberville MS 39540-8703 Ph: (228) 354-9300 |
| NPI Number | 1376899070 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376899070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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