| M Patricia Bedoya Md | |
|
183 Nw Gwen Lake Ave Lake City FL 32055-3711 | |
| (386) 752-0442 | |
| (386) 719-4752 |
| Full Name | M Patricia Bedoya Md |
|---|---|
| Speciality | Family Medicine |
| Location | 183 Nw Gwen Lake Ave, Lake City, Florida |
| Authorized Official Name and Position | Maria P Bedoya (OWNER) |
| Authorized Official Contact | 3867520442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Patricia Bedoya Md 183 Nw Gwen Lake Ave Lake City FL 32055-3711 Ph: (386) 752-0442 | M Patricia Bedoya Md 183 Nw Gwen Lake Ave Lake City FL 32055-3711 Ph: (386) 752-0442 |
| NPI Number | 1538558119 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538558119 | NPI | - | NPPES |
| 12040 | Other | FL | FLORIDA BLUE |
| 202713500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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