| St Bernadette's Care Llc | |
|
5448 Legend Hills Ln Brooksville FL 34609-9502 | |
| (352) 593-4242 | |
| Not Available |
| Full Name | St Bernadette's Care Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 5448 Legend Hills Ln, Brooksville, Florida |
| Authorized Official Name and Position | Jose Ceron-fuentes (PRESIDENT) |
| Authorized Official Contact | 3525934242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Bernadette's Care Llc Po Box 15669 Brooksville FL 34604-0122 Ph: (352) 593-4242 | St Bernadette's Care Llc 5448 Legend Hills Ln Brooksville FL 34609-9502 Ph: (352) 593-4242 |
| NPI Number | 1205119609 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 09/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205119609 | NPI | - | NPPES |
| 2775247 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME95797 (Florida) | Primary |
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