institution
Lifetime Medical Care Pa
Primary Care Clinic/Center in Orange Park, Florida
NPI 1790793016

Lifetime Medical Care Pa is a Primary Care Clinic/Center based in Orange Park, FL and is specialized in Primary Care. Lifetime Medical Care Pa practices in Orange Park, FL. The NPI Number for Lifetime Medical Care Pa is 1790793016 and holds a License No. ME81222 (Florida).

The current practice location address for Lifetime Medical Care Pa is 2300 Park Ave, Orange Park, FL and can be reached out via phone at 904-278-0016 and via fax at 904-278-4217.

Location: 2300 Park Ave, Orange Park, FL, 32003-8231
institution
Provider Profile Details
NPI Number
1790793016
Provider Name
Lifetime Medical Care Pa
Credential
Provider Entity Type
Organization
Address
2300 Park Ave, Orange Park, FL, 32003-8231
Phone Number
904-278-0016
Fax Number
904-278-4217
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7388361 01 FL AETNA
01528 01 FL BLUE CROSS BLUE SHIELD
6965204 01 FL CIGNA
institution
Provider Business Practice Location Address Details
Address
2300 Park Ave
City
State
Zip
32073-5571
Phone Number
904-278-0016
Fax Number
904-278-4217
person
Provider Business Mailing Address Details
Address
2300 Park Ave
City
State
Zip
32073-5571
Phone Number
904-278-0016
Fax Number
904-278-4217
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
ME81222 (Florida)
Definition
Definition to come...
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