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Lakeshore Medical Care Center, Inc
Preferred Provider Organization in Jacksonville, Florida
NPI 1124195573

Lakeshore Medical Care Center, Inc is a Preferred Provider Organization based in Jacksonville, FL. Lakeshore Medical Care Center, Inc practices in Jacksonville, FL. The NPI Number for Lakeshore Medical Care Center, Inc is 1124195573 and holds a License No. 0042816 (Florida).

The current practice location address for Lakeshore Medical Care Center, Inc is 4616 San Juan Ave, Jacksonville, FL and can be reached out via phone at 904-384-5385 and via fax at 904-388-5838.

Location: 4616 San Juan Ave, Jacksonville, FL, 32210-3228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124195573
Provider Name
Lakeshore Medical Care Center, Inc
Credential
Provider Entity Type
Organization
Address
4616 San Juan Ave, Jacksonville, FL, 32210-3228
Phone Number
904-384-5385
Fax Number
904-388-5838
Provider Enumeration Date
11/29/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4616 San Juan Ave
City
Jacksonville
State
Florida
Zip
32210-3228
Phone Number
904-384-5385
Fax Number
904-388-5838
person
Provider Business Mailing Address Details
Address
4616 San Juan Ave
City
Jacksonville
State
Florida
Zip
32210-3228
Phone Number
904-384-5385
Fax Number
904-388-5838
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
0042816 (Florida)
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 receives care at a lower benefit level.
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