Promed Walk In Clinic Inc | |
1703 Sw 2nd Ave Okeechobee FL 34974-6169 | |
(863) 467-7377 | |
Not Available |
Full Name | Promed Walk In Clinic Inc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1703 Sw 2nd Ave, Okeechobee, Florida |
Authorized Official Name and Position | Carol Lynn Johns (PRESIDENT) |
Authorized Official Contact | 8634677377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Promed Walk In Clinic Inc 1703 Sw 2nd Ave Okeechobee FL 34974-6169 Ph: (863) 467-7377 | Promed Walk In Clinic Inc 1703 Sw 2nd Ave Okeechobee FL 34974-6169 Ph: (863) 467-7377 |
NPI Number | 1467631861 |
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Provider Enumeration Date | 11/01/2007 |
Last Update Date | 11/01/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467631861 | NPI | - | NPPES |
Y9729Z | Other | FL | MEDICARE |
Y9729 | Other | FL | BLUE CROSS BLUE SHIELD FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ARNP3141172 (Florida) | Primary |
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