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Shands At Lake Shore Inc
Clinic/Center in Lake City, Florida
NPI 1730275538

Shands At Lake Shore Inc is a Clinic/Center based in Gainesville, FL. Shands At Lake Shore Inc practices in Lake City, FL. The NPI Number for Shands At Lake Shore Inc is 1730275538 and holds a License No. 4258 (Florida).

The current practice location address for Shands At Lake Shore Inc is 368 Ne Franklin St, Lake City, FL and can be reached out via phone at 386-754-8000 and via fax at 352-733-0069.

Location: 368 Ne Franklin St, Lake City, FL, 32601-6271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730275538
Provider Name
Shands At Lake Shore Inc
Credential
Provider Entity Type
Organization
Address
368 Ne Franklin St, Lake City, FL, 32601-6271
Phone Number
386-754-8000
Fax Number
352-733-0069
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CK8077 01 FL MEDICARE RR
264258100 05 FL
institution
Provider Business Practice Location Address Details
Address
368 Ne Franklin St
City
Lake City
State
Florida
Zip
32055-3088
Phone Number
386-754-8000
Fax Number
352-733-0069
person
Provider Business Mailing Address Details
Address
368 Ne Franklin St
City
Lake City
State
Florida
Zip
32055-3088
Phone Number
386-754-8000
Fax Number
352-733-0069
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
4258 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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