| Magnolia Family Care | |
|
777 W Duval St Lake City FL 32055-5806 | |
| (386) 755-3300 | |
| Not Available |
| Full Name | Magnolia Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 777 W Duval St, Lake City, Florida |
| Authorized Official Name and Position | Bilal M Khodr (OWNER) |
| Authorized Official Contact | 3867553300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Care 777 W Duval St Lake City FL 32055-5806 Ph: (386) 755-3300 | Magnolia Family Care 777 W Duval St Lake City FL 32055-5806 Ph: (386) 755-3300 |
| NPI Number | 1356904353 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 04/16/2019 |
| Medicare PECOS PAC ID | 7911233747 |
|---|---|
| Medicare Enrollment ID | O20190731001706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356904353 | NPI | - | NPPES |
| 41469 | Other | FL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bilal M Khodr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881653723 PECOS PAC ID: 3072578152 Enrollment ID: I20041130001138 |
| Provider Name | Jennifer Lyn Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316581879 PECOS PAC ID: 8527498914 Enrollment ID: I20200427001990 |
Ernest De Leon, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 | |
Richard Weizenecker, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1297 Sw State Road 47, Lake City, FL 32025 Phone: 386-752-4711 Fax: 386-752-5075 | |
Palms Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 173 Nw Albritton Ln, Lake City, FL 32055 Phone: 386-755-4020 Fax: 386-752-9143 | |
Artemis Billing Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 Sw Loren Ct, Lake City, FL 32024 Phone: 772-404-8426 Fax: 772-209-7667 | |
Internal Medicine Of Lake City , Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 Sw Commerce Dr, Suite 2, Lake City, FL 32025 Phone: 386-755-1703 Fax: 386-755-1744 | |
Randolph Medical Practices Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1847 Sw Barnett Way, Lake City, FL 32025 Phone: 386-755-1440 Fax: 386-758-5628 | |
Raimah Primary Care Center Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1283 Sw State Road 47, 103, Lake City, FL 32025 Phone: 386-754-0339 Fax: 386-754-0393 |