| Pro Motion Therapy Of Lake City Llc | |
|
945 Sw Main Blvd Lake City FL 32025-5746 | |
| (386) 755-3164 | |
| (386) 755-3165 |
| Full Name | Pro Motion Therapy Of Lake City Llc |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 945 Sw Main Blvd, Lake City, Florida |
| Authorized Official Name and Position | Eric Eldon Douglass (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 2399474184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Motion Therapy Of Lake City Llc 9070 W Cheyenne Ave Ste 100 Las Vegas NV 89129-8935 Ph: (702) 818-5000 | Pro Motion Therapy Of Lake City Llc 945 Sw Main Blvd Lake City FL 32025-5746 Ph: (386) 755-3164 |
| NPI Number | 1073801262 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 07/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073801262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
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: Medicare Enrolled 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 |