Magnolia Pediatrics Llc in Lake City - Pediatrics
Magnolia Pediatrics Llc - NPI 1356513964
Magnolia Pediatrics Llc is a Pediatrics in Lake City, Florida. Magnolia Pediatrics Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Magnolia Pediatrics Llc is 1356513964. The last update date is 2012-10-05.
Magnolia Pediatrics Llc's current location address is 1140 Sw Bascom Norris Dr Ste 104, Lake City, Florida. You can contact this provider via phone number 3867196500 and fax number 3867196503. The mailing address for Magnolia Pediatrics Llc is 1140 Sw Bascom Norris Dr Ste 104, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Magnolia Pediatrics Llc |
|---|---|
| Address | 1140 Sw Bascom Norris Dr Ste 104, Lake City, Florida |
| Phone Number | 3867196500 |
| Fax Number | 3867196503 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER |
|---|---|
| Authorized Official Name | Khodr Bilal |
| Credentials | MD |
| Telephone Number | 3867196500 |
NPI Number Detail
| NPI Number | 1356513964 |
|---|---|
| Provider Enumeration Date | 2008-03-24 |
| Last Updated Date | 2012-10-05 |
Provider Mailing Address Detail
| Address | 1140 Sw Bascom Norris Dr Ste 104 |
|---|---|
| City | Lake City |
| State | Florida (FL) |
| Post Code | 320251329 |
| Phone Number | 3867196500 |
| Fax Number | 3867196503 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | ME72652 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61823792 | FL | TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Magnolia Pediatrics Llc by the Centers for Medicare & Medicaid Services?
The Magnolia Pediatrics Llc has been assigned the NPI (National Provider Identifier) 1356513964. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Magnolia Pediatrics Llc's facilities are situated?
The facilities of Magnolia Pediatrics Llc are physically located at the following address: 1140 Sw Bascom Norris Dr Ste 104, Lake City, FL, 320251329.
What is the Magnolia Pediatrics Llc's specialty and taxonomy code?
The Magnolia Pediatrics Llc's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date was the 1356513964 assigned to Magnolia Pediatrics Llc?
The Magnolia Pediatrics Llc was issued its 1356513964 on 2008-03-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Magnolia Pediatrics Llc most recently updated or revised?
The details related to Magnolia Pediatrics Llc, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-05.