Lakeshore Medical Care Center, Inc in Jacksonville - Preferred Provider Organization
Lakeshore Medical Care Center, Inc - NPI 1124195573
Lakeshore Medical Care Center, Inc is a Preferred Provider Organization in Jacksonville, Florida. Lakeshore Medical Care Center, Inc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Lakeshore Medical Care Center, Inc is 1124195573. The last update date is 2010-12-27.
Lakeshore Medical Care Center, Inc's current location address is 4616 San Juan Ave, Jacksonville, Florida. You can contact this provider via phone number 9043845385 and fax number 9043885838. The mailing address for Lakeshore Medical Care Center, Inc is 4616 San Juan Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeshore Medical Care Center, Inc |
|---|---|
| Address | 4616 San Juan Ave, Jacksonville, Florida |
| Phone Number | 9043845385 |
| Fax Number | 9043885838 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Teagle Tracy |
| Telephone Number | 9043845385 |
NPI Number Detail
| NPI Number | 1124195573 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2010-12-27 |
Provider Mailing Address Detail
| Address | 4616 San Juan Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322103228 |
| Phone Number | 9043845385 |
| Fax Number | 9043885838 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | ME0018387 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Post Comment/ Review Below
What is the unique identification code assigned to Lakeshore Medical Care Center, Inc by the Centers for Medicare & Medicaid Services?
The Lakeshore Medical Care Center, Inc has been issued the NPI (National Provider Identifier) 1124195573. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lakeshore Medical Care Center, Inc is physically located?
The Lakeshore Medical Care Center, Inc is physically situated at the following address: 4616 San Juan Ave, Jacksonville, FL, 322103228.
What is Lakeshore Medical Care Center, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lakeshore Medical Care Center, Inc is Preferred Provider Organization, and the corresponding taxonomy classification code for this specialized field is 305R00000X.
On what date did the Lakeshore Medical Care Center, Inc receive its 1124195573 assignment from the Centers for Medicare & Medicaid Services?
The Lakeshore Medical Care Center, Inc was assigned its 1124195573 by the Centers for Medicare & Medicaid Services on 2006-11-29.
As of what date were the details pertaining to Lakeshore Medical Care Center, Inc last refreshed?
The information related to the Lakeshore Medical Care Center, Inc, including its address, specialty, and other relevant details, was last updated on 2010-12-27.