| Phoenix Family Health Care Center | |
|
1581 Highway 98 W Carrabelle FL 32322-5009 | |
| (850) 697-3420 | |
| (850) 697-3423 |
| Full Name | Phoenix Family Health Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1581 Highway 98 W, Carrabelle, Florida |
| Authorized Official Name and Position | Lois Marie Mendez Catlin (VP BUSINESS MANAGER) |
| Authorized Official Contact | 8506973420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Family Health Care Center 1581 Highway 98 W Carrabelle FL 32322-5009 Ph: (850) 697-3420 | Phoenix Family Health Care Center 1581 Highway 98 W Carrabelle FL 32322-5009 Ph: (850) 697-3420 |
| NPI Number | 1063798478 |
|---|---|
| Provider Enumeration Date | 10/30/2011 |
| Last Update Date | 10/02/2012 |
| Medicare PECOS PAC ID | 4981871985 |
|---|---|
| Medicare Enrollment ID | O20120113000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063798478 | NPI | - | NPPES |
| 275192500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ACN212 (Florida) | Primary |
| Provider Name | Lionel B Catlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669491536 PECOS PAC ID: 1153327630 Enrollment ID: I20061005000277 |
Weems Medical Center East Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Ne 5th St, Carrabelle, FL 32322 Phone: 850-697-2345 Fax: 850-697-2348 | |
Bayline Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Hwy 98 East, Carrabelle, FL 32322 Phone: 850-697-5540 Fax: 850-697-2477 |