Lakewood Ranch Primary Care Llc | |
8340 Lakewood Ranch Blvd Suite 350 Lakewood Ranch FL 34202-5180 | |
(941) 907-0588 | |
(941) 373-6622 |
Full Name | Lakewood Ranch Primary Care Llc |
---|---|
Speciality | Family Medicine |
Location | 8340 Lakewood Ranch Blvd, Lakewood Ranch, Florida |
Authorized Official Name and Position | Harvey S. Mishner (PARTNER) |
Authorized Official Contact | 9419070588 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakewood Ranch Primary Care Llc 8340 Lakewood Ranch Blvd Suite 350 Lakewood Ranch FL 34202-5180 Ph: (941) 907-0588 | Lakewood Ranch Primary Care Llc 8340 Lakewood Ranch Blvd Suite 350 Lakewood Ranch FL 34202-5180 Ph: (941) 907-0588 |
NPI Number | 1518922947 |
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Provider Enumeration Date | 04/19/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518922947 | NPI | - | NPPES |
34586 | Other | FL | BCBS |
DA1812 | Other | FL | MCR RR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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