Lakeshore Medical Care Center, Inc

LBN: Lakeshore Medical Care Center, Inc
Lakeshore Medical Care Center, Inc is an health care organization with primary practice located at 4616 San Juan Ave , Jacksonville FL 32210-3228. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Lakeshore Medical Care Center, Inc can be contacted via phone (904) 384-5385, or through Teagle, Tracy via phone (904) 384-5385.

Contact Information

Primary practice address
4616 San Juan Ave Jacksonville FL 32210-3228
Phone: (904) 384-5385
Fax: (904) 388-5838
Website:
Map and Directions
Authorized official contact:
Name: Teagle, Tracy
Phone: (904) 384-5385

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 0042816 Florida
Managed Care Organizations / Preferred Provider Organization 305R00000X ME0018387 Florida

Profile Details

NPI number 1124195573
LBN Legal business name Lakeshore Medical Care Center, Inc
DBA Doing business as
Authorized official Teagle, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Dec 27th, 2010 - about 14 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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