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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKESHORE MEDICAL CARE CENTER, INC

Active Organization

LAKESHORE MEDICAL CARE CENTER, INC is a Preferred Provider Organization organization located in JACKSONVILLE, Florida. NPI 1124195573 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · JACKSONVILLE, FL

Registration Details

NPI Number
1124195573
Provider Type
Organization
NPI Issued
Nov 29, 2006 (19.717026258962 yrs)
Last Updated
Dec 27, 2010
Licenses
ME0018387 (FL)
0042816 (FL)

Practice Information

Address
4616 SAN JUAN AVE
JACKSONVILLE, FL, 322103228
Browse FL providers · Browse ZIP 32210
Phone
9043845385
Fax
9043885838
Primary Specialty
Preferred Provider Organization
305R00000X

Other Preferred Provider Organization Organizations in JACKSONVILLE, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.