Grace Pediatrics PL
Rural health clinic in Lake City, FL, Medicare certification number 683810.
Medicare certification
Provider of Services- CCN
- 683810
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Oct 28, 2013
- Last certification
- Sep 5, 2019
- Address
- 4196 W US Hwy 90
Lake City, FL 32055
(386) 243-8474
NPI records for this facility (CCN to NPI Mapping) 1
-
- Pediatric Nurse Practitioner
- Lake City, FL
- NPI 1720362429
Medicare enrollment
Other rural health clinics in Lake City, FL
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.