Lakeshore Medical - Adults

LBN: Florida Community Health Centers Inc
Lakeshore Medical - Adults is an health care organization with primary practice located at 1100 N Parrott Ave , Okeechobee FL 34972-2129. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Florida Community Health Centers Inc can be contacted via phone (863) 763-7481, or through Gervasi, Michael F via phone (561) 844-9443.

Contact Information

Primary practice address
1100 N Parrott Ave Okeechobee FL 34972-2129
Phone: (863) 763-7481
Fax: (863) 763-5920
Website:
Map and Directions
Authorized official contact:
Name: Gervasi, Michael F
Phone: (561) 844-9443

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1952351306
LBN Legal business name Florida Community Health Centers Inc
DBA Doing business as Lakeshore Medical - Adults
Authorized official Gervasi, Michael F
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Jun 17th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952351306 NPPES
Florida MEDICAID 029574407
Florida MEDICAID 029574406

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