National Provider Identifier Database

LAKESHORE MEDICAL CARE CENTER INC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

LAKESHORE MEDICAL CARE CENTER, INC
4616 SAN JUAN AVE
JACKSONVILLE, FL32210-3228
Phone: 904-384-5385
Fax: 904-388-5838
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for LAKESHORE MEDICAL CARE CENTER, INC

NPI Number 1124195573
Legal business name
LBN
LAKESHORE MEDICAL CARE CENTER, INC
Authorized official TRACY TEAGLE - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/29/2006
Last updated 12/27/2010 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 0042816
  • FL License #: ME0018387

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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