Angelito B Lacanilao (NPI# 1659416956, PAC ID# 4284547076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1659416956 |
| PAC ID by PECOS | 4284547076 |
| Professional Enrollment ID | I20031107000392 |
| Full Name | Angelito B Lacanilao |
| Address |
340 Charlie Smith Sr Hwy Saint Marys GA 31558-3101 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110146 | SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 340 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3101 |
| Street Address |
340 CHARLIE SMITH SR HWY |
| City | SAINT MARYS |
| State | GA |
| Zip | 31558-3101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Michelle Gomez | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Scott Thomas Miles | Addiction Medicine | 5155 Ga Hwy 40 E, St Marys, GA 31558 | |
| Angela D Johnson | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Paulette Kropf | Pediatric Medicine | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| James Shields | Anesthesiology | Physicians Group Services Pa | 309 Arnow Dr, Saint Marys, GA 31558-3176 |
| Roberta Lindau | Clinical Social Worker | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
| Norman A Lemieux | Clinical Social Worker | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
| Ellinor Burke | Psychologist, Clinical | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
| Joshua B Woodin | Physician Assistant | Urgent Care of Coastal Georgia | 214 Professional Cir, Suite A, Saint Marys, GA 31558-3783 |
| Jennifer Lynn Cox | Physician Assistant | Urgent Care of Coastal Georgia | 214 Professional Cir, Suite A, Saint Marys, GA 31558-3783 |
| Find all physicians in zip 31558 | |||
| City | SAINT MARYS |
| Zip Code | 31558 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAINT MARYS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Angelito B Lacanilao.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.