| Lake Butler Medical Clinic Inc | |
|
675 E Main St Lake Butler FL 32054-1352 | |
| (386) 496-1328 | |
| (386) 496-2227 |
| Full Name | Lake Butler Medical Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 675 E Main St, Lake Butler, Florida |
| Authorized Official Name and Position | Martha Regina Lloyd (PHYSICIAN) |
| Authorized Official Contact | 3864961328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Butler Medical Clinic Inc Po Box 188 Lake Butler FL 32054-0188 Ph: (386) 496-1328 | Lake Butler Medical Clinic Inc 675 E Main St Lake Butler FL 32054-1352 Ph: (386) 496-1328 |
| NPI Number | 1871582296 |
|---|---|
| Provider Enumeration Date | 10/18/2005 |
| Last Update Date | 06/29/2010 |
| Medicare PECOS PAC ID | 5698849404 |
|---|---|
| Medicare Enrollment ID | O20080728000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871582296 | NPI | - | NPPES |
| 266578600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME81421 (Florida) | Primary |
| Provider Name | Martha Lloyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669660965 PECOS PAC ID: 1355415167 Enrollment ID: I20080728000550 |
| Provider Name | Tammy J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285877258 PECOS PAC ID: 0749467959 Enrollment ID: I20110615000291 |
Medlink Management Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 575 Se 3rd Ave, Lake Butler, FL 32054 Phone: 386-496-1922 Fax: 386-496-4777 | |
Marvin W. Johnson M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 E Main St, Lake Butler, FL 32054 Phone: 386-496-2406 Fax: 386-496-3362 | |
New River Community Health Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 495 E Main St, Lake Butler, FL 32054 Phone: 386-496-3211 Fax: 386-496-1599 | |
1st Choice Urgent Care Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 W Main St, Lake Butler, FL 32054 Phone: 386-496-2273 | |
1st Choice Urgent Care Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 275 W Main St, Lake Butler, FL 32054 Phone: 864-962-2733 | |
Starke Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Se 6th Pl, Lake Butler, FL 32054 Phone: 386-496-1236 |