LAKESHORE MEDICAL CARE CENTER, INC

Preferred Provider Organization

Active Organization
NPI: 1124195573

Practice Address

4616 SAN JUAN AVE
Jacksonville, FL 32210

Phone: (904) 384-5385

Specialties

Specialty Code Primary License
Preferred Provider Organization 305R00000X Yes 0042816 (FL)

Frequently Asked Questions

NPI 1124195573 is the National Provider Identifier for LAKESHORE MEDICAL CARE CENTER, INC, a Preferred Provider Organization provider located in Jacksonville, FL. This NPI was enumerated on November 29, 2006.

Quick Facts

NPI
1124195573
Type
Organization
Enumerated
Nov 29, 2006
Last Updated
Dec 27, 2010

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