Medics Primary Care | |
484 Sw Commerce Dr Ste 101 Lake City FL 32025-1508 | |
(386) 406-2577 | |
(855) 618-2462 |
Full Name | Medics Primary Care |
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Speciality | Clinic/Center |
Location | 484 Sw Commerce Dr Ste 101, Lake City, Florida |
Authorized Official Name and Position | Annette Julissa Gandia-morales (ADMINISTRATOR) |
Authorized Official Contact | 3864062577 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medics Primary Care 484 Sw Commerce Dr Ste 101 Lake City FL 32025-1508 Ph: (386) 406-2577 | Medics Primary Care 484 Sw Commerce Dr Ste 101 Lake City FL 32025-1508 Ph: (386) 406-2577 |
NPI Number | 1992457444 |
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Provider Enumeration Date | 01/25/2022 |
Last Update Date | 04/29/2022 |
Medicare PECOS PAC ID | 3577940287 |
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Medicare Enrollment ID | O20220519000101 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992457444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Ernesto L Toledo |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1972721330 PECOS PAC ID: 5294894283 Enrollment ID: I20161010000299 |
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