Walking Tree Family Practice, Inc | |
3098 W Lake Mary Blvd Lake Mary FL 32746-6742 | |
(406) 855-9722 | |
Not Available |
Full Name | Walking Tree Family Practice, Inc |
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Speciality | Clinic/Center |
Location | 3098 W Lake Mary Blvd, Lake Mary, Florida |
Authorized Official Name and Position | Bessie Joyce Fairbairn (DR. FAIRBAIRN/OWNER) |
Authorized Official Contact | 4068559722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Walking Tree Family Practice, Inc 3098 W Lake Mary Blvd Lake Mary FL 32746-6742 Ph: () - | Walking Tree Family Practice, Inc 3098 W Lake Mary Blvd Lake Mary FL 32746-6742 Ph: (406) 855-9722 |
NPI Number | 1194502021 |
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Provider Enumeration Date | 09/13/2023 |
Last Update Date | 09/13/2023 |
Medicare PECOS PAC ID | 7214383785 |
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Medicare Enrollment ID | O20231020000110 |
Identifier | Type | State | Issuer |
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1194502021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Bessie Joyce Fairbairn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568911667 PECOS PAC ID: 0244511574 Enrollment ID: I20161229000313 |
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