Organization · Type 2 NPI
Origins Family Medical & Weight Loss Clinic Inc
General Practice Physician · Lake City, FL
NPI number
1962835306
Active
Practice location
206 S Marion Ave
Lake City, FL 32025-7058
Fax (386) 755-3093
Mailing address
194 SW Wall Ter
Lake City, FL 32025-5086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Lake City
About NPI 1962835306
Origins Family Medical & Weight Loss Clinic Inc's National Provider Identifier is 1962835306, issued on Aug 20, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lake City, FL. The record was last updated on Sep 12, 2013.