| J. Agustin Lacson M.d. Inc | |
|
537 E Central Ave Winter Haven FL 33880-3001 | |
| (863) 320-3530 | |
| Not Available |
| Full Name | J. Agustin Lacson M.d. Inc |
|---|---|
| Speciality | Pharmacy |
| Location | 537 E Central Ave, Winter Haven, Florida |
| Authorized Official Name and Position | Janice Croskery (AUTHORIZED OFFICIAL/ EMPLOYEE) |
| Authorized Official Contact | 8633856700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Agustin Lacson M.d. Inc 537 E Central Ave Winter Haven FL 33880-3001 Ph: (863) 320-3530 | J. Agustin Lacson M.d. Inc 537 E Central Ave Winter Haven FL 33880-3001 Ph: (863) 320-3530 |
| NPI Number | 1093529315 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 02/21/2025 |
| Medicare PECOS PAC ID | 3375434491 |
|---|---|
| Medicare Enrollment ID | O20250519001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093529315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | (* (Not Available)) | Primary |
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