| Taylen Peaden D.o. Pllc | |
|
1111 Sw Main Blvd Lake City FL 32025-5767 | |
| (386) 365-4922 | |
| Not Available |
| Full Name | Taylen Peaden D.o. Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Sw Main Blvd, Lake City, Florida |
| Authorized Official Name and Position | Taylen Clay Peaden (OWNER) |
| Authorized Official Contact | 3863654922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylen Peaden D.o. Pllc 1111 Sw Main Blvd Lake City FL 32025-5767 Ph: () - | Taylen Peaden D.o. Pllc 1111 Sw Main Blvd Lake City FL 32025-5767 Ph: (386) 365-4922 |
| NPI Number | 1710693858 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Medicare PECOS PAC ID | 9133587793 |
|---|---|
| Medicare Enrollment ID | O20230614002326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710693858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Taylen C Peaden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669505111 PECOS PAC ID: 9931124765 Enrollment ID: I20230614002746 |
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 | |
Palms Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 173 Nw Albritton Ln, Lake City, FL 32055 Phone: 386-755-4020 Fax: 386-752-9143 | |
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 | |
Randolph Medical Practices Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1847 Sw Barnett Way, Lake City, FL 32025 Phone: 386-755-1440 Fax: 386-758-5628 | |
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 |