CORNERSTONE CARE CLINIC LLC; NPI #1669253639

Contact Information

CORNERSTONE CARE CLINIC LLC

1520 OHIO AVE S STE A
LIVE OAK, FL 32064-4514

Phone: 386-219-4060
Fax: 386-245-7100
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	363LP2300X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for CORNERSTONE CARE CLINIC LLC

NPI #	`1669253639`
LBN Legal business name	CORNERSTONE CARE CLINIC LLC
Authorized official	JOSEPH CHAMBERLAIN - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/06/2023
Last updated	04/22/2026 - About 2 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CORNERSTONE CARE CLINIC LLC

Contact Information

Specialty

Primary Care

NPI Profile & details for CORNERSTONE CARE CLINIC LLC

Reviews for CORNERSTONE CARE CLINIC LLC