LAKE BUTLER MEDICAL CLINIC INC (NPI# 1871582296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871582296 |
| Entity Type | Organization |
| Organization Name | LAKE BUTLER MEDICAL CLINIC INC |
| Practice Address |
675 E Main St Lake Butler FL 32054-1352 |
| Mailing Address |
Po Box 188 Lake Butler FL 32054-0188 |
| Practice Telephone | 3864961328 |
| Practice Fax Number | 3864962227 |
| Mailing Telephone | 3864961328 |
| Mailing Fax Number | 3864962227 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2010-06-29 |
| Authorized Official Name | MARTHA REGINA LLOYD (PHYSICIAN) |
| Authorized Official Telephone | 3864961328 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ME81421 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 266578600 | 05 |
| Street Address |
675 E MAIN ST |
| City | LAKE BUTLER |
| State | FL |
| Zip Code | 32054-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669660965 | Martha Regina Lloyd | Family Medicine | 675 E Main St, Lake Butler, FL 32054-1352 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740627892 | Nalini Anandjiwala | General Practice | 7765 County Rd 231, Lake Butler, FL 32054 | 2013-05-30 |
| 1356690721 | Cheryl Anderson | Nurse Practitioner | 850 East Main Street, Lake Butler, FL 32054 | 2012-08-31 |
| 1891007860 | Lisa Cunningham | Speech-Language Pathologist | 6398 South West State Road 121, Lake Butler, FL 32054 | 2010-07-07 |
| 1609374131 | Michele Lewis | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2018-01-30 |
| 1144756735 | Kateena James | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2017-05-03 |
| 1710380373 | Ashley C Nelson | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2014-09-26 |
| 1073954046 | Can Trong Tran | General Practice | 7765 County Rd 231, Rmc, Lake Butler, FL 32054 | 2013-07-08 |
| 1760689400 | Marta Anisia Castillo | General Practice | 7765 S County Road 231, Lake Butler, FL 32054 | 2007-06-27 |
| 1013972272 | Medlink Management Services Inc | General Acute Care Hospital | 850 E Main St, Lake Butler, FL 32054 | 2006-04-19 |
| 1922105360 | Waldemar Ricardo Riefkohl | Dentist | Reception and Medical Center, Hwy 231, Lake Butler, FL 32054-0628 | 2006-09-20 |
| Find all providers in zip 32054 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | LAKE BUTLER |
| Zip Code | 32054 |
Please comment or provide details below to improve the information on LAKE BUTLER MEDICAL CLINIC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.