| Pedim Outreach And Specialty Clinic Llc | |
|
2805 W Flare Ln Lecanto FL 34461 | |
| (352) 527-6888 | |
| Not Available |
| Full Name | Pedim Outreach And Specialty Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2805 W Flare Ln, Lecanto, Florida |
| Authorized Official Name and Position | Dacelin St Martin (OWNER) |
| Authorized Official Contact | 3525276888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedim Outreach And Specialty Clinic Llc Po Box 2066 Lecanto FL 34460-2066 Ph: (352) 634-8736 | Pedim Outreach And Specialty Clinic Llc 2805 W Flare Ln Lecanto FL 34461 Ph: (352) 527-6888 |
| NPI Number | 1558128819 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558128819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Dr Eilis Clark Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 S Salisbury Ter, Lecanto, FL 34461 Phone: 352-631-7460 | |
Sun Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2063 N Lecanto Hwy, Lecanto, FL 34461 Phone: 352-436-4428 Fax: 352-228-4903 | |
Nature Coast Mind Body Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S Salisbury Ter, Lecanto, FL 34461 Phone: 352-631-7460 | |
Pedim Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 | |
Pediatric And Internal Medicine Specialists, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 | |
Padala Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2063 N Lecanto Hwy Ste 1, Lecanto, FL 34461 Phone: 352-436-4428 Fax: 352-228-4903 | |
Citrus County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 W Sovereign Path, Lecanto, FL 34461 Phone: 352-527-0068 Fax: 352-527-8858 |