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146 Sw Orthopedic Ct Lake City FL 32024-0672 | |
| (352) 336-6000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 146 Sw Orthopedic Ct, Lake City, Florida |
| Authorized Official Name and Position | Michael A Anderson (CFO) |
| Authorized Official Contact | 3523666000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4500 W Newberry Rd Gainesville FL 32607-2245 Ph: (352) 336-6000 | 146 Sw Orthopedic Ct Lake City FL 32024-0672 Ph: (352) 336-6000 |
| NPI Number | 1952597700 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 04/11/2022 |
| Medicare PECOS PAC ID | 2860385242 |
|---|---|
| Medicare Enrollment ID | O20100930059420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952597700 | NPI | - | NPPES |
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