| Shorepoint Obstetrics And Gynecology- Rhc | |
|
1012 N Mills Ave Arcadia FL 34266-8811 | |
| (941) 766-0400 | |
| Not Available |
| Full Name | Shorepoint Obstetrics And Gynecology- Rhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1012 N Mills Ave, Arcadia, Florida |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shorepoint Obstetrics And Gynecology- Rhc Po Box 689022 Franklin TN 37068-9022 Ph: () - | Shorepoint Obstetrics And Gynecology- Rhc 1012 N Mills Ave Arcadia FL 34266-8811 Ph: (941) 766-0400 |
| NPI Number | 1730672379 |
|---|---|
| Provider Enumeration Date | 06/08/2018 |
| Last Update Date | 03/18/2022 |
| Medicare PECOS PAC ID | 8729187901 |
|---|---|
| Medicare Enrollment ID | O20180813000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730672379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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