| Miguel J Tepedino Md Pa | |
|
1722 Sw Newland Way Lake City FL 32025-6915 | |
| (386) 754-4111 | |
| (386) 754-4118 |
| Full Name | Miguel J Tepedino Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1722 Sw Newland Way, Lake City, Florida |
| Authorized Official Name and Position | Miguel J Tepedino (OWNER) |
| Authorized Official Contact | 3867544111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miguel J Tepedino Md Pa 1722 Sw Newland Way Lake City FL 32025-6915 Ph: (386) 754-4117 | Miguel J Tepedino Md Pa 1722 Sw Newland Way Lake City FL 32025-6915 Ph: (386) 754-4111 |
| NPI Number | 1275763427 |
|---|---|
| Provider Enumeration Date | 07/22/2009 |
| Last Update Date | 05/03/2021 |
| Medicare PECOS PAC ID | 9133274889 |
|---|---|
| Medicare Enrollment ID | O20090901000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275763427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME101844 (Florida) | Primary |
| Provider Name | Spring Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902030596 PECOS PAC ID: 4688724206 Enrollment ID: I20090602000523 |
| Provider Name | Miguel Jose Tepedino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568544054 PECOS PAC ID: 4688729338 Enrollment ID: I20090901000292 |
| Provider Name | Hillary Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154869782 PECOS PAC ID: 1153690920 Enrollment ID: I20170711000831 |
Ernest De Leon, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 | |
Richard Weizenecker, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1297 Sw State Road 47, Lake City, FL 32025 Phone: 386-752-4711 Fax: 386-752-5075 | |
Artemis Billing Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 Sw Loren Ct, Lake City, FL 32024 Phone: 772-404-8426 Fax: 772-209-7667 | |
Internal Medicine Of Lake City , Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 Sw Commerce Dr, Suite 2, Lake City, FL 32025 Phone: 386-755-1703 Fax: 386-755-1744 | |
Raimah Primary Care Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1283 Sw State Road 47, 103, Lake City, FL 32025 Phone: 386-754-0339 Fax: 386-754-0393 | |
Cassidy Health And Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 S Marion Ave, Lake City, FL 32025 Phone: 386-438-5722 Fax: 386-438-8631 | |
Lake City Regional Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 Fax: 386-758-6140 |