Magnolia Pediatrics
Rural health clinic in Lake City, FL, Medicare certification number 683808.
Medicare certification
Provider of Services- CCN
- 683808
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- For profit – corporation
- Participating since
- Jun 17, 2013
- Last certification
- Feb 7, 2020
- Address
- 1140 SW Bascom Norris Dr Ste 104
Lake City, FL 32025
(386) 719-6500
NPI records for this facility (CCN to NPI Mapping) 1
-
- Pediatrics Physician
- Lake City, FL
- NPI 1356513964
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.