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201 Parshley St Sw Live Oak FL 32064-2310 | |
(386) 362-3778 | |
(386) 362-5376 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 201 Parshley St Sw, Live Oak, Florida |
Authorized Official Name and Position | Robert Krasnow (OWNER/PRESIDENT) |
Authorized Official Contact | 3867927200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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201 Parshley St Sw Live Oak FL 32064-2310 Ph: (386) 362-3778 | 201 Parshley St Sw Live Oak FL 32064-2310 Ph: (386) 362-3778 |
NPI Number | 1578646121 |
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Provider Enumeration Date | 10/24/2006 |
Last Update Date | 01/14/2008 |
Identifier | Type | State | Issuer |
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1578646121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Florida) | Primary |
Acv Community Services Ll Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10820 Marvin E Jones Blvd, Live Oak, FL 32060 Phone: 386-658-5341 | |
Horizon Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Demorest St Se, Live Oak, FL 32064 Phone: 386-362-5437 Fax: 386-362-5440 | |