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Clinical Pet Of Lake City
Radiology Clinic/Center in Lake City, Florida
NPI 1972596450

Clinical Pet Of Lake City is a Radiology Clinic/Center based in Ocala, FL and is specialized in Radiology. Clinical Pet Of Lake City practices in Lake City, FL. The NPI Number for Clinical Pet Of Lake City is 1972596450 and holds a License No. (Florida).

The current practice location address for Clinical Pet Of Lake City is 484 Sw Commerce Dr, Lake City, FL and can be reached out via phone at 386-754-3092 and via fax at 386-754-6176.

Location: 484 Sw Commerce Dr, Lake City, FL, 34477-3029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972596450
Provider Name
Clinical Pet Of Lake City
Credential
Provider Entity Type
Organization
Address
484 Sw Commerce Dr, Lake City, FL, 34477-3029
Phone Number
386-754-3092
Fax Number
386-754-6176
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V2683 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
484 Sw Commerce Dr
City
Lake City
State
Florida
Zip
32025-1507
Phone Number
386-754-3092
Fax Number
386-754-6176
person
Provider Business Mailing Address Details
Address
484 Sw Commerce Dr
City
Lake City
State
Florida
Zip
32025-1507
Phone Number
386-754-3092
Fax Number
386-754-6176
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
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Definition
Definition to come...
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