Organization · Type 2 NPI

Lakeshore Medical Care Center, Inc

Preferred Provider Organization · Jacksonville, FL

NPI number 1124195573 Active

Practice location

4616 San Juan Ave
Jacksonville, FL 32210-3228

Call (904) 384-5385 Map

Fax (904) 388-5838

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization Primary 305R00000X0042816 (FL)
Preferred Provider Organization 305R00000XME0018387 (FL)

Preferred Provider Organization: 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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About NPI 1124195573

Lakeshore Medical Care Center, Inc's National Provider Identifier is 1124195573, issued on Nov 29, 2006. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 27, 2010.