| Shands Surgical Specialists Of Lake City | |
|
755 Sw State Road 47 Lake City FL 32025-0453 | |
| (386) 755-7788 | |
| (352) 733-0069 |
| Full Name | Shands Surgical Specialists Of Lake City |
|---|---|
| Speciality | Clinic/center |
| Location | 755 Sw State Road 47, Lake City, Florida |
| Authorized Official Name and Position | Jodi Mansfield (SR. VICE PRESIDENT & COO) |
| Authorized Official Contact | 3522650440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shands Surgical Specialists Of Lake City 720 Sw 2nd Ave Suite 360c Gainesville FL 32601-6271 Ph: (352) 733-0060 | Shands Surgical Specialists Of Lake City 755 Sw State Road 47 Lake City FL 32025-0453 Ph: (386) 755-7788 |
| NPI Number | 1871692475 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871692475 | NPI | - | NPPES |
| CK8077 | Other | FL | MEDICARE RR |
| 264258101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Ernest De Leon, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 | |
Richard Weizenecker, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1297 Sw State Road 47, Lake City, FL 32025 Phone: 386-752-4711 Fax: 386-752-5075 | |
Palms Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 173 Nw Albritton Ln, Lake City, FL 32055 Phone: 386-755-4020 Fax: 386-752-9143 | |
Artemis Billing Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 Sw Loren Ct, Lake City, FL 32024 Phone: 772-404-8426 Fax: 772-209-7667 | |
Internal Medicine Of Lake City , Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 Sw Commerce Dr, Suite 2, Lake City, FL 32025 Phone: 386-755-1703 Fax: 386-755-1744 | |
Randolph Medical Practices Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1847 Sw Barnett Way, Lake City, FL 32025 Phone: 386-755-1440 Fax: 386-758-5628 | |
Raimah Primary Care Center Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1283 Sw State Road 47, 103, Lake City, FL 32025 Phone: 386-754-0339 Fax: 386-754-0393 |