Shands At Lake Shore Inc in Lake City - Multi-specialty
Shands At Lake Shore Inc - NPI 1497854186
Shands At Lake Shore Inc is a Multi-specialty in Lake City, Florida. Shands At Lake Shore Inc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Shands At Lake Shore Inc is 1497854186. The last update date is 2008-05-07.
Shands At Lake Shore Inc's current location address is 348 Ne Methodist Ter, Lake City, Florida. You can contact this provider via phone number 3867554007 and fax number 3527330069. The mailing address for Shands At Lake Shore Inc is 348 Ne Methodist Ter, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shands At Lake Shore Inc |
|---|---|
| Address | 348 Ne Methodist Ter, Lake City, Florida |
| Phone Number | 3867554007 |
| Fax Number | 3527330069 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Mansfield Jodi |
| Telephone Number | 3522650440 |
NPI Number Detail
| NPI Number | 1497854186 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2008-05-07 |
Provider Mailing Address Detail
| Address | 348 Ne Methodist Ter |
|---|---|
| City | Lake City |
| State | Florida (FL) |
| Post Code | 320553409 |
| Phone Number | 3867554007 |
| Fax Number | 3527330069 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 264258102 | FL | -- | |
| CK8077 | FL | MEDICARE RR |
Post Comment/ Review Below
What is the unique identifier code issued to Shands At Lake Shore Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Shands At Lake Shore Inc has been assigned the NPI (National Provider Identifier) 1497854186. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Shands At Lake Shore Inc?
The Shands At Lake Shore Inc is physically situated at 348 Ne Methodist Ter, in the city of Lake City, state of FL, with the postal code 320553409.
What is the Shands At Lake Shore Inc's area of specialization and corresponding taxonomy classification?
The Shands At Lake Shore Inc's specialty field is Multi-specialty, and it falls under the taxonomy code 261Qm1300X, which categorizes healthcare providers based on their specialties.
When was the Shands At Lake Shore Inc's 1497854186 issued?
The Shands At Lake Shore Inc's 1497854186 was issued on 2006-09-21.
As of what date was the information pertaining to Shands At Lake Shore Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shands At Lake Shore Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-07.