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NPI Code Detail

MEDICARE: PHYSICIAN PARTNERS NETWORK PA

MEDICARE: PHYSICIAN PARTNERS NETWORK PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianFL
2261QR1300XRural Health Clinic/CenterFL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CD8188OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
140952OTHERFLBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447290952
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIAN PARTNERS NETWORK PA
Provider Business Mailing Address
First Line : 605 LAMAR AVE
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34601-3211
Country : US
Telephone Number : 352-796-9990
Fax Number : 352-796-2226
Provider Business Practice Location Address
First Line : 605 LAMAR AVE
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34601-3211
Country : US
Telephone Number : 352-796-9990
Fax Number : 352-796-2226
Authorized Official
Title or Position : OFFICE MANAGER
Name : LOUISE ELDRIDGE
Credential :
Telephone Number : 352-796-9990
Provider Enumeration Date : 06/07/2006
Last Update Date : 06/03/2008

Similar Medicare Providers

1508869330 — MRS. ANNA K ALLEN ARNP
Practice Location Address:
605 LAMAR AVE
BROOKSVILLE, FL
34601-3211
Practice Phone: 352-799-5411
Practice Fax: 352-544-2713
1205820511 — MONTE EDWARDS PAC
Practice Location Address:
605 LAMAR AVE
BROOKSVILLE, FL
34601-3211
Practice Phone: 352-799-5411
Practice Fax: 352-544-2713
1861486177 — MALCOLM R FRASER MD
Practice Location Address:
605 LAMAR AVE
BROOKSVILLE, FL
34601-3211
Practice Phone: 352-799-5411
Practice Fax: 352-544-2713
1114911328 — GARY L CLARK PA C
Practice Location Address:
605 LAMAR AVE
BROOKSVILLE, FL
34601-3211
Practice Phone: 352-799-5411
Practice Fax: 352-544-2713
1982690681 — MR. KENNETH D. GOOGE PA-C
Practice Location Address:
605 LAMAR AVENUE
BROOKSVILLE, FL
34601-3211
Practice Phone: 352-796-9990
Practice Fax: 352-796-2226
1144273889 — JAMES R CUMMINGS MD PA
Practice Location Address:
605 LAMAR AVE
BROOKSVILLE, FL
34601-3211
Practice Phone: 352-796-9990
Practice Fax: 352-796-2226

Directions to “PHYSICIAN PARTNERS NETWORK PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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