| Stankus Family Care | |
|
18743 Nw 234th St High Springs FL 32643-0465 | |
| (352) 214-5807 | |
| Not Available |
| Full Name | Stankus Family Care |
|---|---|
| Speciality | General Practice |
| Location | 18743 Nw 234th St, High Springs, Florida |
| Authorized Official Name and Position | Joseph Stankus (OWNER) |
| Authorized Official Contact | 3522145807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stankus Family Care 18743 Nw 234th St High Springs FL 32643-0465 Ph: () - | Stankus Family Care 18743 Nw 234th St High Springs FL 32643-0465 Ph: (352) 214-5807 |
| NPI Number | 1215535794 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 06/03/2022 |
| Medicare PECOS PAC ID | 3971914755 |
|---|---|
| Medicare Enrollment ID | O20201130002221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215535794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Melissa A Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740549757 PECOS PAC ID: 9436308459 Enrollment ID: I20121008000668 |
| Provider Name | Joseph C Stankus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629471818 PECOS PAC ID: 8527280536 Enrollment ID: I20141106001497 |
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