| Lakewood Ranch Health | |
|
9015 Town Center Pkwy Unit 112 Lakewood Ranch FL 34202-5012 | |
| (941) 877-6002 | |
| (833) 914-2734 |
| Full Name | Lakewood Ranch Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 9015 Town Center Pkwy Unit 112, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Leo Lin Kao (OWNER/ SOLE PROVIDER) |
| Authorized Official Contact | 9418776002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Ranch Health 8374 Market St # 194 Lakewood Ranch FL 34202-5137 Ph: (929) 928-0754 | Lakewood Ranch Health 9015 Town Center Pkwy Unit 112 Lakewood Ranch FL 34202-5012 Ph: (941) 877-6002 |
| NPI Number | 1942874490 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 01/27/2024 |
| Medicare PECOS PAC ID | 6800299371 |
|---|---|
| Medicare Enrollment ID | O20210721000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942874490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Leo Lin Kao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013385830 PECOS PAC ID: 7416292487 Enrollment ID: I20200124001030 |
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