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Shands At Lake Shore Inc
Multi-Specialty Clinic/Center in Lake City, Florida
NPI 1871692475

Shands At Lake Shore Inc is a Multi-Specialty Clinic/Center based in Gainesville, FL and is specialized in Multi-Specialty. Shands At Lake Shore Inc practices in Lake City, FL. The NPI Number for Shands At Lake Shore Inc is 1871692475 and holds a License No. (Florida).

The current practice location address for Shands At Lake Shore Inc is 755 Sw State Road 47, Lake City, FL and can be reached out via phone at 386-755-7788 and via fax at 352-733-0069.

Location: 755 Sw State Road 47, Lake City, FL, 32601-6271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871692475
Provider Name
Shands At Lake Shore Inc
Credential
Provider Entity Type
Organization
Address
755 Sw State Road 47, Lake City, FL, 32601-6271
Phone Number
386-755-7788
Fax Number
352-733-0069
Provider Enumeration Date
09/21/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CK8077 01 FL MEDICARE RR
264258101 05 FL
institution
Provider Business Practice Location Address Details
Address
755 Sw State Road 47
City
Lake City
State
Florida
Zip
32025-0453
Phone Number
386-755-7788
Fax Number
352-733-0069
person
Provider Business Mailing Address Details
Address
755 Sw State Road 47
City
Lake City
State
Florida
Zip
32025-0453
Phone Number
386-755-7788
Fax Number
352-733-0069
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
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).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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