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300 Pinewood Dr. Sw Live Oak FL 32064 | |
| (386) 647-4690 | |
| (386) 647-4691 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 300 Pinewood Dr. Sw, Live Oak, Florida |
| Authorized Official Name and Position | Anita H. Rembert (CEO) |
| Authorized Official Contact | 3524634501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
23476 Nw 186th Ave High Springs FL 32643-0673 Ph: (386) 454-0698 | 300 Pinewood Dr. Sw Live Oak FL 32064 Ph: (386) 647-4690 |
| NPI Number | 1740901743 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 01/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740901743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Acv Community Services Ll Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10820 Marvin E Jones Blvd, Live Oak, FL 32060 Phone: 386-658-5341 | |
Horizon Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Demorest St Se, Live Oak, FL 32064 Phone: 386-362-5437 Fax: 386-362-5440 | |