Westside Samaritans Clinic Inc | |
10000 W Newberry Rd Gainesville FL 32606-5544 | |
(352) 333-7700 | |
(352) 333-9009 |
Full Name | Westside Samaritans Clinic Inc |
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Speciality | Clinic/center - Multi-specialty |
Location | 10000 W Newberry Rd, Gainesville, Florida |
Authorized Official Name and Position | Roy Taylor Klossner (DIRECTOR) |
Authorized Official Contact | 3523337700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Westside Samaritans Clinic Inc 10000 W Newberry Rd Gainesville FL 32606-5544 Ph: (352) 333-7700 | Westside Samaritans Clinic Inc 10000 W Newberry Rd Gainesville FL 32606-5544 Ph: (352) 333-7700 |
NPI Number | 1851651988 |
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Provider Enumeration Date | 05/23/2012 |
Last Update Date | 12/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851651988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Florida) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | N12000000613-VHCPP (Florida) | Primary |
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