Neurology Center Of North Florida, Llc | |
4241 Nw American Ln Lake City FL 32055-4881 | |
(386) 288-5311 | |
(386) 288-0058 |
Full Name | Neurology Center Of North Florida, Llc |
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Speciality | Clinic/Center |
Location | 4241 Nw American Ln, Lake City, Florida |
Authorized Official Name and Position | Ernesto Alonso (NEUROLOGIST) |
Authorized Official Contact | 3053436831 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurology Center Of North Florida, Llc 4241 Nw American Ln Lake City FL 32055-4881 Ph: (386) 288-5311 | Neurology Center Of North Florida, Llc 4241 Nw American Ln Lake City FL 32055-4881 Ph: (386) 288-5311 |
NPI Number | 1205327939 |
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Provider Enumeration Date | 05/30/2018 |
Last Update Date | 02/24/2021 |
Medicare PECOS PAC ID | 3971855198 |
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Medicare Enrollment ID | O20181016001677 |
Identifier | Type | State | Issuer |
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1205327939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
293D00000X | Physiological Laboratory | (* (Not Available)) | Secondary |
Provider Name | Ernesto Alonso |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1396170601 PECOS PAC ID: 2163720103 Enrollment ID: I20181016002193 |
Provider Name | Tailen Lorenzo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235768565 PECOS PAC ID: 2163821125 Enrollment ID: I20210524001398 |
Provider Name | Taily Alonso |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699430173 PECOS PAC ID: 9133580962 Enrollment ID: I20230726003330 |
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 | |
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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 | |
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