| |
104 Acadia Drive Raceland LA 70394 | |
(504) 842-3000 | |
(504) 842-6901 |
Full Name | |
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Speciality | General Practice |
Location | 104 Acadia Drive, Raceland, Louisiana |
Authorized Official Name and Position | Scott J Posaecai (EVP-CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5048423000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 54851 New Orleans LA 70154-4851 Ph: (504) 842-3000 | 104 Acadia Drive Raceland LA 70394 Ph: (504) 842-3000 |
NPI Number | 1063611812 |
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Provider Enumeration Date | 07/12/2007 |
Last Update Date | 07/12/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063611812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Physiofit Physical Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 White Rose Dr, Raceland, LA 70394 Phone: 985-532-9662 Fax: 985-532-3942 | |
C V Guillermo Jr A Professional Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4912 Highway 1, Raceland, LA 70394 Phone: 985-532-5092 Fax: 985-532-8044 | |