| Cedar Key Healthcare LLC | |
|
510 2nd St Cedar Key FL 32625 | |
| (352) 325-0474 | |
| (352) 477-1417 |
| Full Name | Cedar Key Healthcare LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 510 2nd St, Cedar Key, Florida |
| Authorized Official Name and Position | Tami N Wilkes (MGR) |
| Authorized Official Contact | 3523250474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Key Healthcare LLC Po Box 297 Cedar Key FL 32625-0297 Ph: (352) 325-0474 | Cedar Key Healthcare LLC 510 2nd St Cedar Key FL 32625 Ph: (352) 325-0474 |
| NPI Number | 1164008371 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 04/22/2021 |
| Certification Date | 04/22/2021 |
| Medicare PECOS PAC ID | 9638587140 |
|---|---|
| Medicare Enrollment ID | O20210422001553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164008371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Tami N Wilkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578970141 PECOS PAC ID: 7113148073 Enrollment ID: I20141020000607 |
| Provider Name | Brianna W Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982276952 PECOS PAC ID: 4284102393 Enrollment ID: I20260507000585 |