Internal Medicine Of Lake City Pa

NPI 1285822981 - Clinic/Center - 261QP2300X

NPI Details
NPI 1285822981
Enumeration Date 10/09/2007
Last Updated 09/30/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHAMMI K SHAMMI
Position PRESIDENT
Phone (386) 755-1703
Fax (386) 755-1744
Practice Location
289 SW STONEGATE TER
SUITE 104
LAKE CITY FL, 32024-3456, US
Phone (386) 755-1703
Fax (386) 755-1744
Business Location
289 SW STONEGATE TER
SUITE 104
LAKE CITY FL, 32024-3456, US
Phone (386) 755-1703
Fax (386) 755-1744
Toxanomy
Taxonomy Code 261QP2300X
License State Florida
License Number BB6375477
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According to our database, Internal Medicine Of Lake City Pa NPI is 1285822981, taxonomy code is 261QP2300X and license number is BB6375477, license state is located at Florida. Internal Medicine Of Lake City Pa physically located at 289 Sw Stonegate Ter, Lake City FL, 32024-3456. NPI Number 1033115704 has the healthcare provider type.

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1285822981 NPI number is provided on an as is basis without warranty of any kind. 1285822981 is maintained by the National Plan & Provider Enumeration System. The contents of Internal Medicine Of Lake City Pa are for informational purposes only.