Sicknwell Llc | |
1990 N Prospect Ave Lecanto FL 34461-9792 | |
(352) 527-6888 | |
(352) 527-8818 |
Full Name | Sicknwell Llc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 1990 N Prospect Ave, Lecanto, Florida |
Authorized Official Name and Position | Dacelin St Martin (MEDICAL DIRECTOR / OWNER) |
Authorized Official Contact | 3525276888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sicknwell Llc Po Box 2066 Lecanto FL 34460-2066 Ph: (352) 563-0931 | Sicknwell Llc 1990 N Prospect Ave Lecanto FL 34461-9792 Ph: (352) 527-6888 |
NPI Number | 1871073122 |
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Provider Enumeration Date | 08/16/2018 |
Last Update Date | 08/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871073122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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